Established Patient Office Visit (level 3) at Mercy Hospital Stoddard
1200 N One Mile Rd, Dexter, MO · Mercy · · NPI 1801990825
$242.45
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.
$373.00
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.
$49.65 with COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] vs $14,290.50 with CIGNA HEALTHCARE CONTRACTED [320071] — 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 |
|---|---|---|---|
| COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $49.65 | ↓ -80% |
| MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $49.65 | ↓ -80% |
| HEALTH ALLIANCE MEDICARE ADVANTAGE CONTRACTED [320509] | HB STOD HEALTH ALLIANCE MEDICAL PLAN MEDICARE (HAMP) | $55.06 | ↓ -77% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB STOD AETNA MEDICARE 100% | $55.06 | ↓ -77% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB STOD ANTHEM MEDICARE 100% W/SEQ | $55.06 | ↓ -77% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| CROSS TIMBERS HOSPICE [20098] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| HALO HCR INC HOSPICE [20432] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB STOD HUMANA MEDICARE IP 97% OP 100% W/SEQ | $55.06 | ↓ -77% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| KINDFUL HOSPICE [20434] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| MERCY HOSPICE OKC [20252] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| TRICARE CONTRACTED [320380] | HB STOD TRICARE | $55.06 | ↓ -77% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB STOD UHC MEDICARE ADVANTAGE 100% | $55.06 | ↓ -77% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STOD HOME STATE MEDICARE ADVANTAGE 100% W/SEQ | $55.06 | ↓ -77% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| BCBS MEDICARE ADVANTAGE [20047] | HB STOD ANTHEM MEDICARE 100% W/SEQ | $55.06 | ↓ -77% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB STOD UHC VA-CCN | $55.06 | ↓ -77% |
| MEDICARE [20244] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| ACENTRA HEALTH CONTRACTED [320527] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $55.06 | ↓ -77% |
| AMERICAN HEALTH ADVANTAGE OF MO MCR HMO CONTRACTED [320264] | HB STOD AMERICAN HEALTH MEDICARE MO SELECT 103% W/SEQ | $56.71 | ↓ -77% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB STOD DEVOTED HEALTH 104% MCR W/SEQ | $57.26 | ↓ -76% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STOD WELLCARE KY 105% MEDICARE W/SEQ | $57.82 | ↓ -76% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB STOD PROVIDER PARTNERS PPHP 115% MCR SEQ | $63.33 | ↓ -74% |
| AMBETTER CONTRACTED [320452] | HB STOD HOME STATE AMBETTER EXCHANGE 130% MCR W/O SEQ | $72.97 | ↓ -70% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB STOD HOME STATE AMBETTER EXCHANGE 130% MCR W/O SEQ | $72.97 | ↓ -70% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB STOD DEC CONSOCIATE IP 140% OP 140% DEFAULT 50% | $77.09 | ↓ -68% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB STOD DEC RATES IP 150% OP 150% DEFAULT 70% | $82.60 | ↓ -66% |
| IMAGINE 360 CONTRACTED [320494] | HB STOD DEC ROBINSON CONSTRUCTION | $92.61 | ↓ -62% |
| EBMS CONTRACTED [320493] | HB STOD CRADER DISTRIBUTING DEC RATES 165% W/O SEQ | $92.61 | ↓ -62% |
| AUXIANT CONTRACTED [320462] | HB STOD CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $94.40 | ↓ -61% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STOD CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $94.40 | ↓ -61% |
| HEALTHLINK CONTRACTED [320179] | HB STOD SCHAEFER ELECTRICAL DEC 165% W/O SEQ | $94.40 | ↓ -61% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB STOD DEC CONSOCIATE IP 175% OP 175% DEFAULT 50% | $96.36 | ↓ -60% |
| REFLECT HEALTH CONTRACTED [320492] | HB STOD WW WOODS DEC 171% DEFAULT 70% W/O SEQ | $97.83 | ↓ -60% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB STOD CITY OF CAPE DEC 175% MCR W/O SEQ | $98.23 | ↓ -59% |
| AUXIANT CONTRACTED [320462] | HB STOD DEC BUCHHEIT IP 225% OP 200% DEFAULT 70% W/O SEQ | $112.26 | ↓ -54% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB STOD DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $123.90 | ↓ -49% |
| HEALTHLINK CONTRACTED [320179] | HB STOD DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $123.90 | ↓ -49% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB STOD UHC EXCHANGE | $134.71 | ↓ -44% |
| HOPE TRUST CONTRACTED [320488] | HB STOD DEC HOPE TRUST IP 250% OP 250% DEFAULT 70% | $137.66 | ↓ -43% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $157.23 | ↓ -35% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $196.46 | ↓ -19% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM BLUE ACCESS | $196.46 | ↓ -19% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM PATHWAY/EXCHANGE | $196.46 | ↓ -19% |
| MC ANTHEM [20455] | HB STOD ANTHEM BLUE ACCESS | $196.46 | ↓ -19% |
| MC ANTHEM [20455] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $196.46 | ↓ -19% |
| MC GENERIC ANTHEM [20456] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $196.46 | ↓ -19% |
| HEALTH ALLIANCE CONTRACTED [320164] | HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) | $215.15 | ↓ -11% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $225.08 | ↓ -7% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD WOODARD DEC NEW 110125 | $225.08 | ↓ -7% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD HERMANN DEC 010125 | $225.08 | ↓ -7% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD EASTER SEALS DEC NEW 010125 | $225.08 | ↓ -7% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD BARTEL DEC NEW 11.01.25 | $225.08 | ↓ -7% |
| HEALTHLINK CONTRACTED [320179] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $225.08 | ↓ -7% |
| MERCY BENEFIT ADMIN [20251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $225.08 | ↓ -7% |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 | $225.08 | ↓ -7% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB CAPE STOD WOODARD DEC NEW 110125 | $225.08 | ↓ -7% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $225.08 | ↓ -7% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 | $225.08 | ↓ -7% |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $225.08 | ↓ -7% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD TALL TREE DEC NEW 11.01.25 | $225.08 | ↓ -7% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $225.08 | ↓ -7% |
| HEALTHLINK CONTRACTED [320179] | HB STOD HEALTHLINK HMO | $231.70 | ↓ -4% |
| FIRST HEALTH CONTRACTED [320128] | HB STOD AETNA COMMERCIAL / FIRST HEALTH | $248.25 | ↑ +2% |
| AETNA CONTRACTED [320008] | HB STOD AETNA COMMERCIAL / FIRST HEALTH | $248.25 | ↑ +2% |
| WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $248.25 | ↑ +2% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STOD MULTIPLAN/PHCS | $264.80 | ↑ +9% |
| WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $264.80 | ↑ +9% |
| HEALTHLINK CONTRACTED [320179] | HB STOD HEALTHLINK PPO/WC | $264.80 | ↑ +9% |
| MULTIPLAN CONTRACTED [320270] | HB STOD MULTIPLAN/PHCS | $264.80 | ↑ +9% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM TRAD | $297.90 | ↑ +23% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB STOD CIGNA COMMERCIAL | $14,290.50 | ↑ +5794% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $878.80 | $55.51 – $57.87 |
| Mercy Hospital Carthage | Carthage | $130.65 | $50.95 – $79.99 |
| Mercy Hospital Southeast | Cape Girardeau | $840.45 | $54.79 – $200.61 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,479.40 | $12.00 – $537.35 |
| Mercy Primary Care - Bernie | Bernie | $78.75 | $45.53 – $105.00 |