X-ray of mammary ducts 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.
$69.87 with Multiplan vs $5,473.34 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 |
|---|---|---|---|
| Multiplan | WCOMPMissouri | $69.87 | — |
| CorVel Corporation | KSWC | $82.97 | — |
| Multiplan | WCOMPKansas | $85.16 | — |
| OHA Network | KansasWCOMP | $86.47 | — |
| BCBS | Blue-Care(HMO) | $112.23 | — |
| BCBS | BlueAccess | $112.23 | — |
| BCBS | Preferred-CareBlue(PPO) | $112.23 | — |
| Humana | HMO | $125.11 | — |
| Humana | EPO | $125.11 | — |
| Humana | ASO | $125.11 | — |
| United | KSMGMCD | $131.00 | — |
| HealthyBlue | MGMCD | $133.62 | — |
| Sunflower State Health Plan | MCD | $134.93 | — |
| Amerigroup | MGMCD | $136.24 | — |
| Unicare | MGMCD | $136.24 | — |
| Aetna Better Health | MCD | $136.24 | — |
| Home State Health Plan | MCD | $158.51 | — |
| Humana | PPO | $161.51 | — |
| Humana | POS | $161.51 | — |
| United | MOMGMCD | $189.95 | — |
| Aetna | IVLHIX | $201.96 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $204.16 | — |
| Aetna | KCCarePlus | $210.93 | — |
| Cigna | SureFit/LocalPlus | $271.84 | — |
| Aetna | Local | $282.74 | — |
| Cigna | LocalKC | $324.03 | — |
| Aetna | National | $347.07 | — |
| Cigna | Comm | $404.49 | — |
| United | AllPayerAppendix | $517.79 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $711.53 | — |
| Ambetter | Commercial-Exchange | $1,018.04 | — |
| NHC Advantage | MGMCD | $1,039.93 | — |
| NHC Advantage | MGMCR | $1,039.93 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,094.67 | — |
| BCBS | FreedomNetworkSelect | $1,313.60 | — |
| United | OptionsPPO | $1,373.81 | — |
| Universal Healthcare | MCR | $1,915.67 | — |
| BCBS | Participating | $2,025.14 | — |
| BCBS | Traditional | $2,025.14 | — |
| BCBS | PC | $2,134.60 | — |
| BCBS | FreedomNetwork | $2,134.60 | — |
| Aetna | FHMedicalRental | $2,200.28 | — |
| Coventry | WCOMP | $2,200.28 | — |
| Coventry KC MO | WCOMP | $2,244.07 | — |
| College Park Family Care Center | COMM | $2,353.54 | — |
| United | GlobalBenefitPlan | $2,463.00 | — |
| Emerging Therapy Solutions | MCD | $2,627.20 | — |
| Cigna LifeSource | COMM | $2,736.67 | — |
| Emerging Therapy Solutions | MGMCR | $2,736.67 | — |
| OHA Network | MissouriWCOMP | $2,736.67 | — |
| Aetna | NATIONALNAP | $2,791.40 | — |
| Multiplan | PrimaryNetwork | $2,900.87 | — |
| Humana National Transplant Network | COMM | $3,284.00 | — |
| CorVel Corporation | MOWC | $3,557.67 | — |
| Humana National Transplant Network | MCRHMO | $3,557.67 | — |
| Humana National Transplant Network | MCD | $3,557.67 | — |
| Humana National Transplant Network | PPO | $3,557.67 | — |
| Multiplan | ComplimentaryNetwork | $4,050.27 | — |
| TriWest Health Alliance | TRICARE | $4,105.01 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $4,105.01 | — |
| Evernorth Behavioral Health | COMMBH | $4,378.67 | — |
| CCO, Inc. | COMM | $4,378.67 | — |
| CCO, Inc. | WORKERSCOMPPPO | $4,378.67 | — |
| Optum Health | COMM | $4,871.27 | — |
| Optum Transplant | COMM | $5,035.47 | — |
| Optum Health | MCD | $5,473.34 | — |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $69.87 – $271.84 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $536.25 | $53.43 – $286.78 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $536.25 | $53.43 – $286.78 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $536.25 | $53.43 – $460.26 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $536.25 | $53.43 – $286.78 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $536.25 | $53.43 – $286.78 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,066.65 | $62.74 – $912.30 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $536.25 | $53.43 – $286.78 |