Cath left heart transseptal punc at SSM Health St. Clare Hospital - Fenton
1015 Bowles, Fenton, MO · SSM Health · · NPI 1851496152
$9,118.45
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.
$16,579.00
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.
$224.58 with BCBS vs $27,154.00 with Healthlink — 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 |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $224.58 | ↓ -98% |
| BCBS | Anthem Blue Access Choice PPO | $230.77 | ↓ -97% |
| BCBS | Anthem Blue Preferred HMO/POS | $231.87 | ↓ -97% |
| BCBS | Anthem Blue Access PPO | $250.08 | ↓ -97% |
| Aetna | Carelink Other Commercial Plan | $5,773.00 | ↓ -37% |
| Aetna | NBD Other Commercial Plan | $7,104.00 | ↓ -22% |
| Ambetter | Exchange | $7,297.00 | ↓ -20% |
| Aetna | All Commercial Plans | $8,050.00 | ↓ -12% |
| Healthlink | Employers Choice All Commercial Plans | $8,380.00 | ↓ -8% |
| UnitedHealthCare | St. Louis University Employee | $8,427.00 | ↓ -8% |
| UnitedHealthCare | All Commercial Plans | $9,329.00 | ↑ +2% |
| UnitedHealthCare | Options PPO | $10,423.00 | ↑ +14% |
| Healthlink | HMO | $13,939.00 | ↑ +53% |
| Healthlink | PPO | $27,154.00 | ↑ +198% |
Visitor-reported prices
Comments
Cath left heart transseptal punc at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $9,118.45 | $224.58 – $8,427.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $9,118.45 | $224.58 – $8,427.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $321.75 | $257.87 – $9,640.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $9,118.45 | $224.58 – $8,427.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $9,118.45 | $224.58 – $8,427.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $9,118.45 | $224.58 – $8,427.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $4,980.30 | $170.15 – $3,294.14 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $5,170.40 | $219.37 – $7,786.00 |