Pulse ox single at RESEARCH PSYCHIATRIC CENTER
2323 E 63rd St, Kansas City, MO · Hcamidwest · · NPI 1497795892
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.
$9.21 with HealthyBlue vs $533.00 with Humana — 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 |
|---|---|---|---|
| HealthyBlue | MGMCD | $9.21 | — |
| Amerigroup | MGMCD | $9.39 | — |
| Unicare | MGMCD | $9.39 | — |
| Home State Health Plan | MCD | $10.93 | — |
| United | MOMGMCD | $13.09 | — |
| Humana | ASO | $429.00 | — |
| Humana | HMO | $429.00 | — |
| Humana | EPO | $429.00 | — |
| Humana | PPO | $533.00 | — |
| Humana | POS | $533.00 | — |
Visitor-reported prices
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Pulse ox single at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH MEDICAL CENTER | Kansas City | $644.22 | $9.03 – $10.93 |
| Mercy Hospital Aurora | Aurora | $66.95 | $9.03 – $28.00 |
| Mercy Hospital Carthage | Carthage | $59.80 | $9.03 – $9.03 |
| Mercy Orthopedic Hospital Springfield | Ozark | $68.90 | $3.44 – $28.00 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $114.40 | $3.17 – $3.17 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $284.96 | $9.03 – $9.48 |
| CENTERPOINT MEDICAL CENTER | Independence | $529.40 | $9.03 – $9.48 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington | $186.85 | $9.03 – $9.39 |