Virus isolation addl studies ea 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.
$10.24 with Cigna vs $151.60 with CCO, Inc. — 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $10.24 | — |
| Cigna | LocalKC | $12.34 | — |
| Cigna | Comm | $15.36 | — |
| HealthyBlue | MGMCD | $17.51 | — |
| Amerigroup | MGMCD | $17.86 | — |
| Unicare | MGMCD | $17.86 | — |
| TriWest Health Alliance | TRICARE | $19.43 | — |
| BCBS | TRICARE | $19.43 | — |
| Devoted Health | MGMCR | $20.20 | — |
| United Behavioral Health | VACCN | $20.20 | — |
| United | MGMCR | $20.60 | — |
| Celtic | MCR | $20.60 | — |
| Home State Health Plan | MCD | $20.78 | — |
| Pyramid Life | MCR | $21.61 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $24.64 | — |
| United | MOMGMCD | $24.90 | — |
| Aetna | KCCarePlus | $28.48 | — |
| Oscar | HIX | $30.70 | — |
| Ambetter | Commercial-Exchange | $35.25 | — |
| Multiplan | WCOMPMissouri | $35.82 | — |
| NHC Advantage | MGMCR | $36.01 | — |
| NHC Advantage | MGMCD | $36.01 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $37.90 | — |
| Aetna | Local | $38.18 | — |
| BCBS | Blue-Care(HMO) | $39.56 | — |
| BCBS | Preferred-CareBlue(PPO) | $39.56 | — |
| BCBS | BlueAccess | $39.56 | — |
| CorVel Corporation | KSWC | $42.53 | — |
| Multiplan | WCOMPKansas | $43.65 | — |
| OHA Network | KansasWCOMP | $44.32 | — |
| Aetna | National | $46.87 | — |
| Humana | PPO | $49.42 | — |
| Humana | ASO | $49.42 | — |
| Humana | POS | $49.42 | — |
| Humana | HMO | $49.42 | — |
| Humana | EPO | $49.42 | — |
| Universal Healthcare | MCR | $66.33 | — |
| BCBS | Participating | $70.11 | — |
| BCBS | Traditional | $70.11 | — |
| BCBS | FreedomNetwork | $73.91 | — |
| BCBS | PC | $73.91 | — |
| Aetna | FHMedicalRental | $76.18 | — |
| Coventry | WCOMP | $76.18 | — |
| Coventry KC MO | WCOMP | $77.69 | — |
| College Park Family Care Center | COMM | $81.48 | — |
| OHA Network | MissouriWCOMP | $94.75 | — |
| Aetna | NATIONALNAP | $96.64 | — |
| Multiplan | PrimaryNetwork | $100.44 | — |
| CorVel Corporation | MOWC | $123.17 | — |
| Multiplan | ComplimentaryNetwork | $140.23 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $142.13 | — |
| Evernorth Behavioral Health | COMMBH | $151.60 | — |
| CCO, Inc. | COMM | $151.60 | — |
| CCO, Inc. | WORKERSCOMPPPO | $151.60 | — |
Visitor-reported prices
Comments
Virus isolation addl studies ea at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH MEDICAL CENTER | Kansas City | not published | $10.24 – $44.32 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $62.70 | $20.20 – $83.30 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $62.70 | $20.20 – $83.30 |
| SSM Health Saint Louis University Hospital | Saint Louis | $105.60 | $19.80 – $43.15 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $62.70 | $20.20 – $83.30 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $62.70 | $20.20 – $83.30 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $62.70 | $20.20 – $83.30 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $111.10 | $18.18 – $36.36 |