Gi tract capsule endoscopy (pillcam) 91110 at SSM Health DePaul Hospital - St. Louis
12303 Depaul Drive, Bridgeton, MO · SSM Health · · NPI 1598835308
$1,498.75
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.
$2,725.00
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.
$711.39 with BCBS vs $6,937.00 with Healthlink — 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 |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $711.39 | ↓ -53% |
| BCBS | Anthem Blue Access Choice PPO | $731.01 | ↓ -51% |
| BCBS | Anthem Blue Preferred HMO/POS | $734.48 | ↓ -51% |
| BCBS | Anthem Blue Access PPO | $792.18 | ↓ -47% |
| Aetna | Medicare Managed Care Plan | $908.45 | ↓ -39% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $917.53 | ↓ -39% |
| UnitedHealthCare | Medicare Managed Care Plan | $921.89 | ↓ -38% |
| BCBS | Anthem Medicare Managed Care Plan | $922.08 | ↓ -38% |
| Humana | Medicare Managed Care Plan | $923.89 | ↓ -38% |
| Aetna | Advantra Medicare Managed Care Plan | $940.25 | ↓ -37% |
| Oscar | Exchange | $1,090.14 | ↓ -27% |
| Ambetter | Exchange | $3,092.00 | ↑ +106% |
| Healthlink | Employers Choice All Commercial Plans | $3,384.00 | ↑ +126% |
| UnitedHealthCare | St. Louis University Employee | $3,662.00 | ↑ +144% |
| UnitedHealthCare | All Commercial Plans | $4,051.00 | ↑ +170% |
| UnitedHealthCare | Options PPO | $4,566.00 | ↑ +205% |
| Cigna | OAP Other Commercial Plan | $4,934.00 | ↑ +229% |
| Healthlink | HMO | $5,629.00 | ↑ +276% |
| Healthlink | PPO | $6,937.00 | ↑ +363% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,498.75 | $711.39 – $4,934.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $2,526.70 | $816.84 – $3,629.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,498.75 | $711.39 – $4,934.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,498.75 | $711.39 – $4,934.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,498.75 | $711.39 – $4,934.00 |
| Mercy Hospital Lincoln | Troy | $1,375.40 | $799.25 – $2,523.19 |
| Mercy Hospital Southeast | Cape Girardeau | $1,375.40 | $578.77 – $5,828.49 |
| Mercy Orthopedic Hospital Springfield | Ozark | $2,657.20 | $514.30 – $3,772.00 |