Ortho elbow without jnt cstm w/fit&adj at Mercy Rehabilitation Hospital St Louis
14561 N Outer 40 Rd, Chesterfield, MO · Mercy · · NPI 1811048614
not published by hospital
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.
not published by hospital
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.
$210.00 with Devoted Health vs $210.00 with UHC Medicare — 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 |
|---|---|---|---|
| Devoted Health | Devoted Health | $210.00 | — |
| Wellcare | Wellcare | $210.00 | — |
| Medica | Medica | $210.00 | — |
| Tricare | Tricare | $210.00 | — |
| Ambetter | Ambetter | $210.00 | — |
| Cigna | Cigna | $210.00 | — |
| UMR CPD | UMR CPD | $210.00 | — |
| Aetna Medicare | Aetna Medicare | $210.00 | — |
| Aetna/ Managed Choice POS Elect Choice and PPO Products | Aetna/ Managed Choice POS Elect Choice and PPO Products | $210.00 | — |
| Aetna/Commercial Product | Aetna/Commercial Product | $210.00 | — |
| Anthem Alliance | Anthem Alliance | $210.00 | — |
| Anthem Blue Access | Anthem Blue Access | $210.00 | — |
| Anthem Blue Access Choice | Anthem Blue Access Choice | $210.00 | — |
| Anthem Blue Preferred | Anthem Blue Preferred | $210.00 | — |
| Anthem Medicare | Anthem Medicare | $210.00 | — |
| Anthem Pathway | Anthem Pathway | $210.00 | — |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $210.00 | — |
| Cigna PPO | Cigna PPO | $210.00 | — |
| Essence | Essence | $210.00 | — |
| Healthlink HMO | Healthlink HMO | $210.00 | — |
| Healthlink PPO | Healthlink PPO | $210.00 | — |
| Healthy Blue (Missouri Care) | Healthy Blue (Missouri Care) | $210.00 | — |
| HomeState Health Plan | HomeState Health Plan | $210.00 | — |
| Humana Gold | Humana Gold | $210.00 | — |
| Medicaid MO | Medicaid MO | $210.00 | — |
| Meritain Health CPD | Meritain Health CPD | $210.00 | — |
| Meritain Health PPO CPD | Meritain Health PPO CPD | $210.00 | — |
| Starmark CPD | Starmark CPD | $210.00 | — |
| UHC All Payer | UHC All Payer | $210.00 | — |
| UHC Exchange | UHC Exchange | $210.00 | — |
| UHC Medicaid | UHC Medicaid | $210.00 | — |
| UHC Medicare | UHC Medicare | $210.00 | — |