In-111 pentetate dtpa / 0.5 mci at SSM Health DePaul Hospital - St. Louis

12303 Depaul Drive, Bridgeton, MO · SSM Health · · NPI 1598835308

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 10, 2026

$836.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,520.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$745.62 with Aetna vs $1,180.23 with UnitedHealthCare — 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 →

Payer
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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
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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
Aetna Medicare Managed Care Plan $745.62 ↓ -11%
Aetna Gold Advantage Medicare Managed Care Plan $753.08 ↓ -10%
UnitedHealthCare Medicare Managed Care Plan $756.66 ↓ -9%
BCBS Anthem Medicare Managed Care Plan $756.80 ↓ -9%
Humana Medicare Managed Care Plan $758.30 ↓ -9%
Aetna Advantra Medicare Managed Care Plan $771.72 ↓ -8%
BCBS Anthem Pathway Exchange $860.20 ↑ +3%
BCBS Anthem Blue Access PPO $860.20 ↑ +3%
BCBS Anthem Blue Preferred HMO/POS $860.20 ↑ +3%
BCBS Anthem Blue Access Choice PPO $860.20 ↑ +3%
Oscar Exchange $894.74 ↑ +7%
UnitedHealthCare All Commercial Plans $1,180.23 ↑ +41%
UnitedHealthCare Options PPO $1,180.23 ↑ +41%
UnitedHealthCare St. Louis University Employee $1,180.23 ↑ +41%

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $836.00 $745.62 – $894.74
SSM Health Saint Louis University Hospital Saint Louis $3,080.32 $715.29 – $894.74
SSM Health St. Joseph Hospital- Wentzville Wentzville $836.00 $860.20 – $1,180.23
SSM Health St. Joseph Hospital - St. Charles Saint Charles $836.00 $745.62 – $894.74
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $836.00 $745.62 – $894.74
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $1,113.29 $741.52 – $1,342.12
Mercy Orthopedic Hospital Springfield Ozark $1,581.45 $191.04 – $1,416.68
SSM Health St. Clare Hospital - Fenton Fenton $836.00 $745.62 – $894.74

All Missouri hospitals for this procedure →