CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Research Medical Center

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99213
Insurance Median: $684
Cash Discount Price: $1,519
vs. Medicare Baseline: 7.19x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Research Medical Center is $684. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,519. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 7.19x the Medicare baseline. Located in 2316 E Meyer Blvd, Kansas City, MO.

Cash / Self-Pay

$1,519

Average discount available for prompt cash payment at this facility.

Insurance Median

$684

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$95.19

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $95.19 (100%)

Cash / Self-Pay: $1,519 (1596%)

Insurance Median: $684 (719%)

Cash: $1,519 (1596% of Medicare)

Ins. Median: $684 (719% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $95.19 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 719% of the Medicare baseline (a markup of 619%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$76 - $1,531	80%
Humana	$111 - $2,212	117%
Nhc Advantage	$111 - $647	117%
Healthyblue	$117 - $681	123%
Aetna	$129 - $1,736	136%
Coventry	$129 - $1,368	136%
United	$147 - $1,531	154%
Universal Healthcare	$205 - $1,191	215%
Coventry Kc Mo	$240 - $1,395	252%
College Park Family Care Center	$252 - $1,463	265%
Emerging Therapy Solutions	$281 - $1,701	295%
Cigna	$293 - $1,701	308%
Oha Network	$293 - $1,701	308%
Multiplan	$310 - $2,722	326%
Corvel Corporation	$380 - $2,212	399%
Focus Healthcare Mgmt, Inc	$439 - $2,552	461%
Triwest Health Alliance	$439 - $2,552	461%
Cco, Inc.	$468 - $2,722	492%
Evernorth Behavioral Health	$468 - $2,722	492%
UnitedHealthcare	$521 - $3,403	547%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,519.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99213.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Research Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99213.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.