Shoulder X-ray at Mercy Hospital Aurora
500 Porter Avenue, Aurora, MO · Mercy · · NPI 1467543090
$374.40
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.
$576.00
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.
$20.00 with MEDICAID [20240] vs $405.00 with MC ANTHEM [20455] — 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 | $20.00 | ↓ -95% |
| KANCARE [20213] | HB AURA AETNA BETTER HEALTH (KANCARE) | $48.74 | ↓ -87% |
| KANCARE CONTRACTED [320213] | HB AURA AETNA BETTER HEALTH (KANCARE) | $48.74 | ↓ -87% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SPRG NHC ADVANTAGE MCR 105% | $89.87 | ↓ -76% |
| MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB AURA MEDICARE | $103.32 | ↓ -72% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB AURA MEDICARE | $103.32 | ↓ -72% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| KINDFUL HOSPICE [20434] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| BCBS MEDICARE ADVANTAGE [20047] | HB AURA MEDICARE | $103.32 | ↓ -72% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB AURA UHC MEDICARE ADVANTAGE | $103.32 | ↓ -72% |
| MERCY HOSPICE OKC [20252] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| ACENTRA HEALTH CONTRACTED [320527] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| QUAL CHOICE CONTRACTED [320325] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| CROSS TIMBERS HOSPICE [20098] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| MEDICARE [20244] | HB AURA MEDICARE | $103.32 | ↓ -72% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| HALO HCR INC HOSPICE [20432] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| GLOBALHEALTH CONTRACTED [320145] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB AURA MEDICARE | $103.32 | ↓ -72% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB AURA VA CCN OPTUM | $103.32 | ↓ -72% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB AURA MANAGED MEDICARE | $103.32 | ↓ -72% |
| MEDICAID [20240] | HB AURA MO MEDICAID | $105.08 | ↓ -72% |
| MO MEDICAID BH CARVE OUT [320315] | HB AURA MO MEDICAID | $105.08 | ↓ -72% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB AURA WELLCARE MEDICARE 103% | $106.39 | ↓ -72% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB AURA DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $107.45 | ↓ -71% |
| HOME STATE MEDICAID CONTRACTED [320189] | HB AURA HOME STATE | $109.29 | ↓ -71% |
| UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB AURA UHC MO MEDICAID | $115.59 | ↓ -69% |
| BCBS MEDICAID CONTRACTED [320046] | HB AURA MO CARE/HEALTHY BLUE | $115.59 | ↓ -69% |
| TRICARE CONTRACTED [320380] | HB AURA TRICARE | $117.85 | ↓ -69% |
| HEALTHSCOPE CONTRACTED [320182] | HB AURA DEC ORSCHELN 125% MCR | $144.02 | ↓ -62% |
| CENTIVO CONTRACTED [320505] | HB AURA CENTIVO 165% MEDICARE | $170.42 | ↓ -54% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB AURA BRYV CASV MTNV MENNONITES | $182.25 | ↓ -51% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL) | $182.25 | ↓ -51% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB AURA AMBETTER EXCHANGE MO | $205.34 | ↓ -45% |
| NOVASYS CONTRACTED [320285] | HB AURA AMBETTER EXCHANGE MO | $205.34 | ↓ -45% |
| AMBETTER CONTRACTED [320452] | HB AURA AMBETTER EXCHANGE MO | $205.34 | ↓ -45% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB AURA AMBETTER EXCHANGE MO | $205.34 | ↓ -45% |
| HEALTHLINK CONTRACTED [320179] | HB AURA NETWORK AFFLIATION | $263.25 | ↓ -30% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB AURA NETWORK AFFLIATION | $263.25 | ↓ -30% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM BLUE PREFERRED | $295.65 | ↓ -21% |
| POINT C CONTRACTED [320238] | HB AURA DEC HEART OF AMERICA BEVERAGE CO | $303.75 | ↓ -19% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM TRADITIONAL | $307.80 | ↓ -18% |
| POINT C [20238] | HB AURA SRC (SPRINGFIELD REMANUFACTURING) | $324.00 | ↓ -13% |
| HEALTH SYSTEMS INC CONTRACTED [320174] | HB AURA HEALTH SYSTEMS | $324.00 | ↓ -13% |
| WORKERS COMP [20426] | HB SPRG LEBN AURA CASV MTNV OHA WORKERS COMP NEW CONTRACT 3.15.25 | $324.00 | ↓ -13% |
| POINT C CONTRACTED [320238] | HB AURA SRC (SPRINGFIELD REMANUFACTURING) | $324.00 | ↓ -13% |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB AURA HEALTH SYSTEMS | $324.00 | ↓ -13% |
| WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | $324.00 | ↓ -13% |
| MEDICA CONTRACTED [320239] | HB AURA BRYV MEDICA EXCHANGE | $342.63 | ↓ -8% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB AURA CTHG WOODARD DEC NEW 040124 | $344.25 | ↓ -8% |
| HEALTHLINK CONTRACTED [320179] | HB AURA HEALTHLINK HMO | $344.25 | ↓ -8% |
| HEALTHLINK CONTRACTED [320179] | HB AURA DEC SAPAUGH MOTORS NEW 1.1.25 | $344.25 | ↓ -8% |
| HUMANA CONTRACTED [320193] | HB AURA HUMANA COMMERCIAL (HMO & PPO) | $344.25 | ↓ -8% |
| IMAGINE 360 CONTRACTED [320494] | HB AURA DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $344.25 | ↓ -8% |
| FIRST HEALTH CONTRACTED [320128] | HB AURA COVENTRY HEALTH CARE INC-FIRST HEALTH LEASED BUSINESS | $344.25 | ↓ -8% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC SAPAUGH MOTORS NEW 1.1.25 | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC TALL TREE NEW 4.1.25 | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC TOWN & COUNTRY SUPERMARKETS | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC EASTER SEALS | $344.25 | ↓ -8% |
| POINT C CONTRACTED [320238] | HB AURA DEC CITY OF SPRINGFIELD | $344.25 | ↓ -8% |
| POINT C CONTRACTED [320238] | HB AURA MISSOURI STATE UNIVERSITY | $344.25 | ↓ -8% |
| POINT C CONTRACTED [320238] | HB AURA S & H FARMS | $344.25 | ↓ -8% |
| POINT C CONTRACTED [320238] | HB AURA SCURLOCK INDUSTRIES | $344.25 | ↓ -8% |
| POINT C CONTRACTED [320238] | HB AURA TRAILINER | $344.25 | ↓ -8% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $344.25 | ↓ -8% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB AURA BRYV CTHG DEC ASI NEW 1.1.24 | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC CLAYCO | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC CITY OF JACKSON | $344.25 | ↓ -8% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB AURA LIBERTY UTILITIES | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $344.25 | ↓ -8% |
| WORKERS COMP [20426] | HB AURA CORVEL CORPORATION | $344.25 | ↓ -8% |
| WORKERS COMP [20426] | HB SPRG GENERIC WORK COMP | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $344.25 | ↓ -8% |
| YUZU HEALTH CONTRACTED [320521] | HB AURA DEC LEVEL HEALTH NEW 1.1.26 | $344.25 | ↓ -8% |
| YUZU HEALTH CONTRACTED [320521] | HB AURA DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $344.25 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA DEC QT | $344.25 | ↓ -8% |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB AURA AMERICAN HEALTHCARE ALLIANCE | $344.25 | ↓ -8% |
| CIGNA HEALTHCARE [20071] | HB AURA CIGNA-HMO | $344.25 | ↓ -8% |
| CIGNA HEALTHCARE [20071] | HB AURA CIGNA-PPO | $344.25 | ↓ -8% |
| EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB AURA EVOLUTIONS | $344.25 | ↓ -8% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB AURA DEC OZARK COMMUNITY HOSPTIAL | $344.25 | ↓ -8% |
| AUXIANT CONTRACTED [320462] | HB AURO DEC HYDROMAT DEUTSCHE | $344.25 | ↓ -8% |
| AUXIANT CONTRACTED [320462] | HB AURO DEC FCB BANKS | $344.25 | ↓ -8% |
| AUXIANT CONTRACTED [320462] | HB AURA DEC CITY OF JACKSON | $344.25 | ↓ -8% |
| AUXIANT CONTRACTED [320462] | HB AURA CTHG DEC BUCHHEIT | $344.25 | ↓ -8% |
| AITHER HEALTH CONTRACTED [320449] | HB AURA DEC LACLEDE CHAIN | $344.25 | ↓ -8% |
| AITHER HEALTH CONTRACTED [320449] | HB AURA CTHG WOODARD DEC NEW 040124 | $344.25 | ↓ -8% |
| EBMS CONTRACTED [320493] | HB AURA DEC CRADER DISTRUBUTION | $344.25 | ↓ -8% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB AURA CIGNA-PPO | $344.25 | ↓ -8% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB AURA CIGNA-HMO | $344.25 | ↓ -8% |
| REFLECT HEALTH CONTRACTED [320492] | HB AURA DEC WW WOODS PRODUCTS NEW 1.1.26 | $344.25 | ↓ -8% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB AURA UHC | $356.40 | ↓ -5% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB AURA UHC | $356.40 | ↓ -5% |
| USA MANAGED CARE ORG CONTRACTED [320429] | HB AURA USA MANAGED CARE ORGANIZATION | $356.40 | ↓ -5% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM PATHWAY EXCHANGE | $356.40 | ↓ -5% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB AURA UHC | $356.40 | ↓ -5% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB AURA UHC INDIVIDUAL EXCHANGE NEW 1.1.23 | $356.40 | ↓ -5% |
| AETNA CONTRACTED [320008] | HB AURA AETNA | $360.45 | ↓ -4% |
| HEALTHLINK CONTRACTED [320179] | HB AURA HEALTHLINK PPO | $364.50 | ↓ -3% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB AURA PHCS/MULTIPLAN | $384.75 | ↑ +3% |
| MULTIPLAN CONTRACTED [320270] | HB AURA PHCS/MULTIPLAN | $384.75 | ↑ +3% |
| MC ANTHEM [20455] | HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE | $388.80 | ↑ +4% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE | $388.80 | ↑ +4% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB AURA ANTHEM ALLIANCE | $405.00 | ↑ +8% |
| MC ANTHEM [20455] | HB AURA ANTHEM ALLIANCE | $405.00 | ↑ +8% |
Visitor-reported prices
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Shoulder X-ray at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $592.15 | $52.59 – $115.59 |
| Mercy Hospital Carthage | Carthage | $312.00 | $21.64 – $115.59 |
| Mercy Hospital Southeast | Cape Girardeau | $613.60 | $49.93 – $559.25 |
| Mercy Hospital Stoddard | Dexter | $331.50 | $75.06 – $559.25 |
| Mercy Orthopedic Hospital Springfield | Ozark | $614.25 | $20.00 – $241.75 |
| Mercy Primary Care - Bernie | Bernie | $72.00 | $6.93 – $17.00 |