Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at Mercy Primary Care - Bernie
810 N Walnut St, Bernie, MO · Mercy · · NPI 1679820286
$182.25
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.
$243.00
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.
$72.90 with MERIDIAN MEDICAID CONTRACTED [320430] vs $243.00 with AUXIANT CONTRACTED [320462] — 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 |
|---|---|---|---|
| MERIDIAN MEDICAID CONTRACTED [320430] | PB MERIDIAN IL MCD HEALTH PLANS | $72.90 | ↓ -60% |
| BLUE CROSS AND BLUE SHIELD [20053] | PB CAPE/STOD ANTHEM BLUE TRADITIONAL | $87.55 | ↓ -52% |
| MC ANTHEM [20455] | PB STOD ANTHEM BLUE ACCESS CHOICE - BLUE PREF - PATHWAYS | $124.75 | ↓ -32% |
| BLUE CROSS AND BLUE SHIELD [20053] | PB STOD ANTHEM BLUE ACCESS CHOICE - BLUE PREF - PATHWAYS | $124.75 | ↓ -32% |
| ADMINISTRATIVE PAYOR [20005] | PB MERCY AMISH/MENNONITE | $133.65 | ↓ -27% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | PB MERCY AMISH/MENNONITE | $133.65 | ↓ -27% |
| MEDICARE [20244] | PB SPRG/JOPL/CAPE/STOD MEDICARE MO 99 | $164.01 | ↓ -10% |
| AETNA MEDICARE ADVANTAGE [20010] | PB SPRG/JOPL/CAPE/STOD MEDICARE MO 99 | $164.01 | ↓ -10% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | PB IL HUMANA MCR-MCD DSNP | $174.74 | ↓ -4% |
| HUMANA MEDICARE ADVANTAGE [20194] | PB IL HUMANA MCR-MCD DSNP | $174.74 | ↓ -4% |
| MULTIPLAN [20270] | PB CAPE / STOD MULTIPLAN COMM 75% | $182.25 | ↑ +0% |
| MULTIPLAN CONTRACTED [320270] | PB CAPE / STOD MULTIPLAN COMM 75% | $182.25 | ↑ +0% |
| UNITED HEALTHCARE CONTRACTED [320396] | PB STL UHC CORE | $191.03 | ↑ +5% |
| UNITED HEALTHCARE CONTRACTED [320396] | PB CAPE-STOD UHC CORE | $196.67 | ↑ +8% |
| WORKERS COMP [20426] | PB CAPE/ STOD MULTIPLAN WORK COMP 85% | $206.55 | ↑ +13% |
| UNITED HEALTHCARE CONTRACTED [320396] | PB CAPE STOD UHC EXCHANGE - IFP | $209.95 | ↑ +15% |
| WORKERS COMP [20426] | PB CAPE/ STOD MULTIPLAN AUTO MEDICAL 90% | $218.70 | ↑ +20% |
| CENTIVO CONTRACTED [320505] | PB PCMH CAPE STOD CENTIVO | $221.41 | ↑ +21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | PB STL DEC EMPLOYER BENEFIT ALLIANCE (EBA) | $226.90 | ↑ +24% |
| REFLECT HEALTH [20492] | PB CAPE STOD DEC WW WOOD PRODUCTS | $243.00 | ↑ +33% |
| EBMS CONTRACTED [320493] | PB CAPE STOD DEC CRADER DISTRIBUTING | $243.00 | ↑ +33% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | PB CAPE STOD DEC CITY OF JACKSON | $243.00 | ↑ +33% |
| IMAGINE 360 CONTRACTED [320494] | PB CAPE STOD DEC ROBINSON CONSTRUCTION | $243.00 | ↑ +33% |
| REFLECT HEALTH CONTRACTED [320492] | PB CAPE STOD DEC WW WOOD PRODUCTS | $243.00 | ↑ +33% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | PB CAPE STOD DEC COASTAL ENERGY | $243.00 | ↑ +33% |
| HOPE TRUST CONTRACTED [320488] | PB CAPE STOD DEC HOPE TRUST AREA 99 | $243.00 | ↑ +33% |
| AUXIANT [20462] | PB CAPE STOD DEC BUCHHEIT | $243.00 | ↑ +33% |
| AUXIANT CONTRACTED [320462] | PB CAPE STOD DEC BUCHHEIT | $243.00 | ↑ +33% |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Orthopedic Hospital Springfield | Ozark | $133.90 | $134.82 – $252.29 |