Heparin bolus from bag at Mercy Hospital Stoddard
1200 N One Mile Rd, Dexter, MO · Mercy · · NPI 1801990825
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.
$2.03 with MEDICAID [20240] vs $12.17 with BLUE CROSS AND BLUE SHIELD [20053] — 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 |
|---|---|---|---|
| MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $2.03 | — |
| COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $2.03 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM PATHWAY/EXCHANGE | $2.64 | — |
| HOME STATE MEDICAID CONTRACTED [320189] | HB STOD HOME STATE MANAGED MEDICAID | $2.70 | — |
| MEDICAID PENDING [20241] | HB STOD HOME STATE MANAGED MEDICAID | $2.70 | — |
| MEDICAID PENDING [20241] | HB STOD MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | $2.70 | — |
| MEDICAID [20240] | HB STOD MO MEDICAID | $2.70 | — |
| UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB STOD UHC MANAGED MEDICAID | $2.70 | — |
| BCBS MEDICAID CONTRACTED [320046] | HB STOD MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | $2.70 | — |
| HEALTH ALLIANCE CONTRACTED [320164] | HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) | $6.08 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $6.42 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $9.19 | — |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 | $9.19 | — |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $9.19 | — |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD WOODARD DEC NEW 110125 | $9.19 | — |
| HEALTHLINK CONTRACTED [320179] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $9.19 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD BARTEL DEC NEW 11.01.25 | $9.19 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD EASTER SEALS DEC NEW 010125 | $9.19 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD HERMANN DEC 010125 | $9.19 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $9.19 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD TALL TREE DEC NEW 11.01.25 | $9.19 | — |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB CAPE STOD WOODARD DEC NEW 110125 | $9.19 | — |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 | $9.19 | — |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $9.19 | — |
| MERCY BENEFIT ADMIN [20251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $9.19 | — |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB STOD CIGNA COMMERCIAL | $9.46 | — |
| HEALTHLINK CONTRACTED [320179] | HB STOD HEALTHLINK HMO | $9.46 | — |
| WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $10.14 | — |
| FIRST HEALTH CONTRACTED [320128] | HB STOD AETNA COMMERCIAL / FIRST HEALTH | $10.14 | — |
| AETNA CONTRACTED [320008] | HB STOD AETNA COMMERCIAL / FIRST HEALTH | $10.14 | — |
| MULTIPLAN CONTRACTED [320270] | HB STOD MULTIPLAN/PHCS | $10.82 | — |
| WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $10.82 | — |
| HEALTHLINK CONTRACTED [320179] | HB STOD HEALTHLINK PPO/WC | $10.82 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STOD MULTIPLAN/PHCS | $10.82 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM TRAD | $12.17 | — |
Visitor-reported prices
Comments
Heparin bolus from bag at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $49.87 | $0.90 – $11.60 |
| Mercy Hospital Lincoln | Troy | $53.62 | $1.20 – $1.20 |
| Mercy Hospital Carthage | Carthage | $69.71 | $0.18 – $0.32 |
| Mercy Hospital Southeast | Cape Girardeau | $53.62 | $0.37 – $0.37 |
| Mercy Orthopedic Hospital Springfield | Ozark | $391.42 | $0.18 – $0.48 |