Observation direct referral from physician office for admission at Mercy Hospital Stoddard
1200 N One Mile Rd, Dexter, MO · Mercy · · NPI 1801990825
$105.95
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.
$163.00
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.
$24.45 with COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] vs $4,764.00 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 | $24.45 | ↓ -77% |
| MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $24.45 | ↓ -77% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM PATHWAY/EXCHANGE | $31.79 | ↓ -70% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $77.43 | ↓ -27% |
| HEALTH ALLIANCE CONTRACTED [320164] | HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) | $105.95 | ↑ +0% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $110.84 | ↑ +5% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $110.84 | ↑ +5% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD TALL TREE DEC NEW 11.01.25 | $110.84 | ↑ +5% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB CAPE STOD WOODARD DEC NEW 110125 | $110.84 | ↑ +5% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD BARTEL DEC NEW 11.01.25 | $110.84 | ↑ +5% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD HERMANN DEC 010125 | $110.84 | ↑ +5% |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $110.84 | ↑ +5% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $110.84 | ↑ +5% |
| YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 | $110.84 | ↑ +5% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD WOODARD DEC NEW 110125 | $110.84 | ↑ +5% |
| HEALTHLINK CONTRACTED [320179] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $110.84 | ↑ +5% |
| AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 | $110.84 | ↑ +5% |
| MERCY BENEFIT ADMIN [20251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $110.84 | ↑ +5% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD EASTER SEALS DEC NEW 010125 | $110.84 | ↑ +5% |
| HEALTHLINK CONTRACTED [320179] | HB STOD HEALTHLINK HMO | $114.10 | ↑ +8% |
| AETNA CONTRACTED [320008] | HB STOD AETNA COMMERCIAL / FIRST HEALTH | $122.25 | ↑ +15% |
| WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $122.25 | ↑ +15% |
| FIRST HEALTH CONTRACTED [320128] | HB STOD AETNA COMMERCIAL / FIRST HEALTH | $122.25 | ↑ +15% |
| HEALTHLINK CONTRACTED [320179] | HB STOD HEALTHLINK PPO/WC | $130.40 | ↑ +23% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STOD MULTIPLAN/PHCS | $130.40 | ↑ +23% |
| MULTIPLAN CONTRACTED [320270] | HB STOD MULTIPLAN/PHCS | $130.40 | ↑ +23% |
| WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $130.40 | ↑ +23% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM TRAD | $146.70 | ↑ +38% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STOD HOME STATE MEDICARE ADVANTAGE 100% W/SEQ | $585.16 | ↑ +452% |
| HEALTH ALLIANCE MEDICARE ADVANTAGE CONTRACTED [320509] | HB STOD HEALTH ALLIANCE MEDICAL PLAN MEDICARE (HAMP) | $585.16 | ↑ +452% |
| HALO HCR INC HOSPICE [20432] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB STOD AETNA MEDICARE 100% | $626.71 | ↑ +492% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB STOD ANTHEM MEDICARE 100% W/SEQ | $626.71 | ↑ +492% |
| CROSS TIMBERS HOSPICE [20098] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB STOD HUMANA MEDICARE IP 97% OP 100% W/SEQ | $626.71 | ↑ +492% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| KINDFUL HOSPICE [20434] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| MERCY HOSPICE OKC [20252] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| TRICARE CONTRACTED [320380] | HB STOD TRICARE | $626.71 | ↑ +492% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB STOD UHC MEDICARE ADVANTAGE 100% | $626.71 | ↑ +492% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| BCBS MEDICARE ADVANTAGE [20047] | HB STOD ANTHEM MEDICARE 100% W/SEQ | $626.71 | ↑ +492% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB STOD UHC VA-CCN | $626.71 | ↑ +492% |
| MEDICARE [20244] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| ACENTRA HEALTH CONTRACTED [320527] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB STOD MEDICARE AND 100% MANAGED MEDICARE | $626.71 | ↑ +492% |
| AMERICAN HEALTH ADVANTAGE OF MO MCR HMO CONTRACTED [320264] | HB STOD AMERICAN HEALTH MEDICARE MO SELECT 103% W/SEQ | $645.49 | ↑ +509% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB STOD DEVOTED HEALTH 104% MCR W/SEQ | $651.75 | ↑ +515% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB STOD WELLCARE KY 105% MEDICARE W/SEQ | $658.65 | ↑ +522% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB STOD PROVIDER PARTNERS PPHP 115% MCR SEQ | $720.74 | ↑ +580% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB STOD HOME STATE AMBETTER EXCHANGE 130% MCR W/O SEQ | $830.50 | ↑ +684% |
| AMBETTER CONTRACTED [320452] | HB STOD HOME STATE AMBETTER EXCHANGE 130% MCR W/O SEQ | $830.50 | ↑ +684% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB STOD DEC CONSOCIATE IP 140% OP 140% DEFAULT 50% | $877.39 | ↑ +728% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB STOD DEC RATES IP 150% OP 150% DEFAULT 70% | $940.06 | ↑ +787% |
| AUXIANT CONTRACTED [320462] | HB STOD CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $1,054.09 | ↑ +895% |
| EBMS CONTRACTED [320493] | HB STOD CRADER DISTRIBUTING DEC RATES 165% W/O SEQ | $1,054.09 | ↑ +895% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STOD CITY OF JACKSON DEC 165% W/O SEQ NEW 010125 | $1,054.09 | ↑ +895% |
| IMAGINE 360 CONTRACTED [320494] | HB STOD DEC ROBINSON CONSTRUCTION | $1,054.09 | ↑ +895% |
| HEALTHLINK CONTRACTED [320179] | HB STOD SCHAEFER ELECTRICAL DEC 165% W/O SEQ | $1,054.09 | ↑ +895% |
| REFLECT HEALTH CONTRACTED [320492] | HB STOD WW WOODS DEC 171% DEFAULT 70% W/O SEQ | $1,092.42 | ↑ +931% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB STOD DEC CONSOCIATE IP 175% OP 175% DEFAULT 50% | $1,096.77 | ↑ +935% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB STOD CITY OF CAPE DEC 175% MCR W/O SEQ | $1,117.98 | ↑ +955% |
| AUXIANT CONTRACTED [320462] | HB STOD DEC BUCHHEIT IP 225% OP 200% DEFAULT 70% W/O SEQ | $1,277.69 | ↑ +1106% |
| CONSOCIATE CONSOLIDATED HEALTH CONTRACTED [320490] | HB STOD DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $1,410.12 | ↑ +1231% |
| HEALTHLINK CONTRACTED [320179] | HB STOD DEC CONSOCIATE IP 225% OP 225% DEFAULT 50% | $1,410.12 | ↑ +1231% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB STOD UHC EXCHANGE | $1,533.22 | ↑ +1347% |
| HOPE TRUST CONTRACTED [320488] | HB STOD DEC HOPE TRUST IP 250% OP 250% DEFAULT 70% | $1,566.76 | ↑ +1379% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB CAPE STOD UHC CORE | $3,141.49 | ↑ +2865% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $3,651.92 | ↑ +3347% |
| MC ANTHEM [20455] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $3,651.92 | ↑ +3347% |
| MC GENERIC ANTHEM [20456] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $3,651.92 | ↑ +3347% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM BLUE ACCESS | $3,755.94 | ↑ +3445% |
| MC ANTHEM [20455] | HB STOD ANTHEM BLUE ACCESS | $3,755.94 | ↑ +3445% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB CAPE STOD UHC ALL PAYER | $3,827.03 | ↑ +3512% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB CAPE STOD UHC ALL PAYER | $3,827.03 | ↑ +3512% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB CAPE STOD UHC ALL PAYER | $3,827.03 | ↑ +3512% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB STOD CIGNA COMMERCIAL | $4,764.00 | ↑ +4396% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $362.05 | $614.98 – $614.98 |
| Mercy Hospital Carthage | Carthage | $421.85 | $614.98 – $614.98 |
| Mercy Hospital Southeast | Cape Girardeau | $99.45 | $393.69 – $3,827.03 |
| Mercy Orthopedic Hospital Springfield | Ozark | $403.65 | $585.16 – $1,128.52 |