Abd/low ext cath addl at SSM Health St. Clare Hospital - Fenton
1015 Bowles, Fenton, MO · SSM Health · · NPI 1851496152
$964.70
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.
?
What you pay up front if you don't use insurance.
$1,754.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$53.62 with BCBS vs $3,829.00 with Healthlink — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $53.62 | ↓ -94% |
| BCBS | Anthem Blue Access Choice PPO | $55.10 | ↓ -94% |
| BCBS | Anthem Blue Preferred HMO/POS | $55.37 | ↓ -94% |
| BCBS | Anthem Blue Access PPO | $59.71 | ↓ -94% |
| UnitedHealthCare | St. Louis University Employee | $541.00 | ↓ -44% |
| UnitedHealthCare | All Commercial Plans | $719.00 | ↓ -25% |
| UnitedHealthCare | Options PPO | $932.00 | ↓ -3% |
| Aetna | Carelink Other Commercial Plan | $1,944.00 | ↑ +102% |
| Ambetter | Exchange | $2,167.00 | ↑ +125% |
| Healthlink | Employers Choice All Commercial Plans | $2,302.00 | ↑ +139% |
| Aetna | NBD Other Commercial Plan | $2,835.00 | ↑ +194% |
| Aetna | All Commercial Plans | $3,213.00 | ↑ +233% |
| Healthlink | HMO | $3,829.00 | ↑ +297% |
Visitor-reported prices
Comments
Abd/low ext cath addl at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $964.70 | $53.62 – $2,302.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $964.70 | $53.62 – $2,302.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $3,016.75 | $61.57 – $3,085.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $964.70 | $53.62 – $2,302.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $964.70 | $53.62 – $2,302.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $964.70 | $53.62 – $2,302.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $432.96 | $1,351.00 – $2,277.00 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $1,236.95 | $52.38 – $3,868.00 |