Established Patient Office Visit (level 1) at Mercy Hospital Aurora
500 Porter Avenue, Aurora, MO · Mercy · · NPI 1467543090
$93.60
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.
$144.00
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.
$5.00 with MEDICAID [20240] vs $58.00 with BLUE CROSS AND BLUE SHIELD [20053] — 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 |
|---|---|---|---|
| MEDICAID [20240] | HB AURA ARKANSAS MEDICAID | $5.00 | ↓ -95% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SPRG NHC ADVANTAGE MCR 105% | $7.76 | ↓ -92% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| GLOBALHEALTH CONTRACTED [320145] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| QUAL CHOICE CONTRACTED [320325] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| ACENTRA HEALTH CONTRACTED [320527] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| MERCY HOSPICE OKC [20252] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| CROSS TIMBERS HOSPICE [20098] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| KINDFUL HOSPICE [20434] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| HALO HCR INC HOSPICE [20432] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB AURA MANAGED MEDICARE | $10.11 | ↓ -89% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB AURA WELLCARE MEDICARE 103% | $10.20 | ↓ -89% |
| HEALTHSCOPE CONTRACTED [320182] | HB AURA DEC ORSCHELN 125% MCR | $10.20 | ↓ -89% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB AURA VA CCN OPTUM | $14.80 | ↓ -84% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB AURA MEDICARE | $14.80 | ↓ -84% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB AURA MEDICARE | $14.80 | ↓ -84% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB AURA UHC MEDICARE ADVANTAGE | $14.80 | ↓ -84% |
| BCBS MEDICARE ADVANTAGE [20047] | HB AURA MEDICARE | $14.80 | ↓ -84% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB AURA MEDICARE | $14.80 | ↓ -84% |
| MEDICARE [20244] | HB AURA MEDICARE | $14.80 | ↓ -84% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB AURA DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $15.39 | ↓ -84% |
| TRICARE CONTRACTED [320380] | HB AURA TRICARE | $16.88 | ↓ -82% |
| KANCARE CONTRACTED [320213] | HB AURA AETNA BETTER HEALTH (KANCARE) | $24.12 | ↓ -74% |
| KANCARE [20213] | HB AURA AETNA BETTER HEALTH (KANCARE) | $24.12 | ↓ -74% |
| CENTIVO CONTRACTED [320505] | HB AURA CENTIVO 165% MEDICARE | $24.41 | ↓ -74% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL) | $26.10 | ↓ -72% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB AURA BRYV CASV MTNV MENNONITES | $26.10 | ↓ -72% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB AURA AMBETTER EXCHANGE MO | $29.41 | ↓ -69% |
| NOVASYS CONTRACTED [320285] | HB AURA AMBETTER EXCHANGE MO | $29.41 | ↓ -69% |
| AMBETTER CONTRACTED [320452] | HB AURA AMBETTER EXCHANGE MO | $29.41 | ↓ -69% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB AURA AMBETTER EXCHANGE MO | $29.41 | ↓ -69% |
| HEALTHLINK CONTRACTED [320179] | HB AURA NETWORK AFFLIATION | $37.70 | ↓ -60% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB AURA NETWORK AFFLIATION | $37.70 | ↓ -60% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM BLUE PREFERRED | $42.34 | ↓ -55% |
| POINT C CONTRACTED [320238] | HB AURA DEC HEART OF AMERICA BEVERAGE CO | $43.50 | ↓ -54% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM TRADITIONAL | $44.08 | ↓ -53% |
| WORKERS COMP [20426] | HB SPRG LEBN AURA CASV MTNV OHA WORKERS COMP NEW CONTRACT 3.15.25 | $46.40 | ↓ -50% |
| HEALTH SYSTEMS INC CONTRACTED [320174] | HB AURA HEALTH SYSTEMS | $46.40 | ↓ -50% |
| POINT C [20238] | HB AURA SRC (SPRINGFIELD REMANUFACTURING) | $46.40 | ↓ -50% |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB AURA HEALTH SYSTEMS | $46.40 | ↓ -50% |
| WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | $46.40 | ↓ -50% |
| POINT C CONTRACTED [320238] | HB AURA SRC (SPRINGFIELD REMANUFACTURING) | $46.40 | ↓ -50% |
| MEDICA CONTRACTED [320239] | HB AURA BRYV MEDICA EXCHANGE | $49.07 | ↓ -48% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB AURA LIBERTY UTILITIES | $49.30 | ↓ -47% |
| AUXIANT CONTRACTED [320462] | HB AURA DEC CITY OF JACKSON | $49.30 | ↓ -47% |
| WORKERS COMP [20426] | HB AURA CORVEL CORPORATION | $49.30 | ↓ -47% |
| WORKERS COMP [20426] | HB SPRG GENERIC WORK COMP | $49.30 | ↓ -47% |
| YUZU HEALTH CONTRACTED [320521] | HB AURA DEC LEVEL HEALTH NEW 1.1.26 | $49.30 | ↓ -47% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB AURA DEC OZARK COMMUNITY HOSPTIAL | $49.30 | ↓ -47% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB AURA CTHG WOODARD DEC NEW 040124 | $49.30 | ↓ -47% |
| YUZU HEALTH CONTRACTED [320521] | HB AURA DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $49.30 | ↓ -47% |
| AUXIANT CONTRACTED [320462] | HB AURO DEC HYDROMAT DEUTSCHE | $49.30 | ↓ -47% |
| HUMANA CONTRACTED [320193] | HB AURA HUMANA COMMERCIAL (HMO & PPO) | $49.30 | ↓ -47% |
| IMAGINE 360 CONTRACTED [320494] | HB AURA DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $49.30 | ↓ -47% |
| AUXIANT CONTRACTED [320462] | HB AURO DEC FCB BANKS | $49.30 | ↓ -47% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $49.30 | ↓ -47% |
| EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB AURA EVOLUTIONS | $49.30 | ↓ -47% |
| CIGNA HEALTHCARE [20071] | HB AURA CIGNA-PPO | $49.30 | ↓ -47% |
| CIGNA HEALTHCARE [20071] | HB AURA CIGNA-HMO | $49.30 | ↓ -47% |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB AURA AMERICAN HEALTHCARE ALLIANCE | $49.30 | ↓ -47% |
| HEALTHLINK CONTRACTED [320179] | HB AURA HEALTHLINK HMO | $49.30 | ↓ -47% |
| HEALTHLINK CONTRACTED [320179] | HB AURA DEC SAPAUGH MOTORS NEW 1.1.25 | $49.30 | ↓ -47% |
| FIRST HEALTH CONTRACTED [320128] | HB AURA COVENTRY HEALTH CARE INC-FIRST HEALTH LEASED BUSINESS | $49.30 | ↓ -47% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB AURA CIGNA-PPO | $49.30 | ↓ -47% |
| EBMS CONTRACTED [320493] | HB AURA DEC CRADER DISTRUBUTION | $49.30 | ↓ -47% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB AURA CIGNA-HMO | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC CITY OF JACKSON | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC CLAYCO | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC EASTER SEALS | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC QT | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC SAPAUGH MOTORS NEW 1.1.25 | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC TALL TREE NEW 4.1.25 | $49.30 | ↓ -47% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC TOWN & COUNTRY SUPERMARKETS | $49.30 | ↓ -47% |
| AITHER HEALTH CONTRACTED [320449] | HB AURA CTHG WOODARD DEC NEW 040124 | $49.30 | ↓ -47% |
| POINT C CONTRACTED [320238] | HB AURA DEC CITY OF SPRINGFIELD | $49.30 | ↓ -47% |
| POINT C CONTRACTED [320238] | HB AURA MISSOURI STATE UNIVERSITY | $49.30 | ↓ -47% |
| POINT C CONTRACTED [320238] | HB AURA S & H FARMS | $49.30 | ↓ -47% |
| POINT C CONTRACTED [320238] | HB AURA SCURLOCK INDUSTRIES | $49.30 | ↓ -47% |
| POINT C CONTRACTED [320238] | HB AURA TRAILINER | $49.30 | ↓ -47% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $49.30 | ↓ -47% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB AURA BRYV CTHG DEC ASI NEW 1.1.24 | $49.30 | ↓ -47% |
| REFLECT HEALTH CONTRACTED [320492] | HB AURA DEC WW WOODS PRODUCTS NEW 1.1.26 | $49.30 | ↓ -47% |
| AITHER HEALTH CONTRACTED [320449] | HB AURA DEC LACLEDE CHAIN | $49.30 | ↓ -47% |
| AUXIANT CONTRACTED [320462] | HB AURA CTHG DEC BUCHHEIT | $49.30 | ↓ -47% |
| USA MANAGED CARE ORG CONTRACTED [320429] | HB AURA USA MANAGED CARE ORGANIZATION | $51.04 | ↓ -45% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM PATHWAY EXCHANGE | $51.04 | ↓ -45% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB AURA UHC | $51.04 | ↓ -45% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB AURA UHC | $51.04 | ↓ -45% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB AURA UHC INDIVIDUAL EXCHANGE NEW 1.1.23 | $51.04 | ↓ -45% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB AURA UHC | $51.04 | ↓ -45% |
| AETNA CONTRACTED [320008] | HB AURA AETNA | $51.62 | ↓ -45% |
| HEALTHLINK CONTRACTED [320179] | HB AURA HEALTHLINK PPO | $52.20 | ↓ -44% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB AURA PHCS/MULTIPLAN | $55.10 | ↓ -41% |
| MULTIPLAN CONTRACTED [320270] | HB AURA PHCS/MULTIPLAN | $55.10 | ↓ -41% |
| MC ANTHEM [20455] | HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE | $55.68 | ↓ -41% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE | $55.68 | ↓ -41% |
| MC ANTHEM [20455] | HB AURA ANTHEM ALLIANCE | $58.00 | ↓ -38% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM ALLIANCE | $58.00 | ↓ -38% |
Visitor-reported prices
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Established Patient Office Visit (level 1) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Carthage | Carthage | $102.70 | $7.76 – $24.12 |
| Mercy Hospital Southeast | Cape Girardeau | $180.05 | $7.35 – $26.90 |
| Mercy Hospital Stoddard | Dexter | $180.05 | $7.39 – $26.36 |
| Mercy Orthopedic Hospital Springfield | Ozark | $120.90 | $7.39 – $71.86 |
| Mercy Primary Care - Bernie | Bernie | $24.00 | $8.69 – $32.00 |