Drvvt confirm - quest at SSM Health St. Clare Hospital - Fenton
1015 Bowles, Fenton, MO · SSM Health · · NPI 1851496152
$31.35
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.
$57.00
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.
$17.98 with UnitedHealthCare vs $74.11 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 |
|---|---|---|---|
| UnitedHealthCare | Options PPO | $17.98 | ↓ -43% |
| Oscar | Exchange | $17.98 | ↓ -43% |
| UnitedHealthCare | St. Louis University Employee | $17.98 | ↓ -43% |
| UnitedHealthCare | All Commercial Plans | $17.98 | ↓ -43% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $18.16 | ↓ -42% |
| UnitedHealthCare | Medicare Managed Care Plan | $18.25 | ↓ -42% |
| BCBS | Anthem Medicare Managed Care Plan | $18.25 | ↓ -42% |
| Humana | Medicare Managed Care Plan | $18.29 | ↓ -42% |
| Aetna | Advantra Medicare Managed Care Plan | $18.61 | ↓ -41% |
| BCBS | Anthem Pathway Exchange | $25.54 | ↓ -19% |
| BCBS | Anthem Blue Access Choice PPO | $26.25 | ↓ -16% |
| BCBS | Anthem Blue Preferred HMO/POS | $26.37 | ↓ -16% |
| BCBS | Anthem Blue Access PPO | $28.44 | ↓ -9% |
| Cigna | OAP Other Commercial Plan | $30.30 | ↓ -3% |
| Healthlink | HMO | $74.11 | ↑ +136% |
| Healthlink | Employers Choice All Commercial Plans | $74.11 | ↑ +136% |
Visitor-reported prices
Comments
Drvvt confirm - quest at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $31.35 | $17.98 – $74.11 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $31.35 | $17.98 – $74.11 |
| SSM Health Saint Louis University Hospital | Saint Louis | $34.10 | $17.62 – $38.39 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $31.35 | $17.98 – $74.11 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $31.35 | $17.98 – $74.11 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $31.35 | $17.98 – $74.11 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $325.60 | $16.18 – $32.36 |
| Mercy Hospital Aurora | Aurora | $116.35 | $17.98 – $24.92 |