Application short leg cast 29405 at SSM Health St. Mary's Hospital - Centralia
400 North Pleasant Avenue, Centralia, IL · SSM Health · · NPI 1083617245
$344.30
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.
$626.00
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.
$299.72 with Molina vs $314.71 with Essence Healthcare — 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 |
|---|---|---|---|
| Molina | Dual Eligible Medicare/Medicaid | $299.72 | ↓ -13% |
| UnitedHealthCare | Medicare Managed Care Plan | $311.71 | ↓ -9% |
| Essence Healthcare | Medicare Managed Care Plan | $314.71 | ↓ -9% |
Visitor-reported prices
Comments
Application short leg cast 29405 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $212.40 | $113.28 – $288.51 |
| MercyOne Genesis Aledo Medical Center | Aledo | $212.40 | $156.00 – $166.38 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $143.75 | $293.43 – $485.55 |
| Advocate Christ Medical Center | Oak Lawn | $635.00 | $238.00 – $672.00 |
| Advocate Condell Medical Center | Libertyville | $635.00 | $209.00 – $672.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $420.00 | $330.96 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $388.80 | $53.20 – $213.98 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $143.75 | $293.43 – $485.55 |