Paliperidone 117 mg/0.75 ml inj at SSM Health St. Clare Hospital - Fenton
1015 Bowles, Fenton, MO · SSM Health · · NPI 1851496152
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.
$15.43 with Aetna vs $27.94 with BCBS — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $15.43 | — |
| Aetna | Gold Advantage Medicare Managed Care Plan | $15.59 | — |
| UnitedHealthCare | Medicare Managed Care Plan | $15.66 | — |
| BCBS | Anthem Medicare Managed Care Plan | $15.66 | — |
| Humana | Medicare Managed Care Plan | $15.69 | — |
| Aetna | Advantra Medicare Managed Care Plan | $15.97 | — |
| Oscar | Exchange | $16.97 | — |
| BCBS | Anthem Blue Preferred HMO/POS | $17.57 | — |
| BCBS | Anthem Pathway Exchange | $17.57 | — |
| BCBS | Anthem Blue Access Choice PPO | $17.79 | — |
| UnitedHealthCare | All Commercial Plans | $24.30 | — |
| UnitedHealthCare | Options PPO | $24.30 | — |
| UnitedHealthCare | St. Louis University Employee | $24.30 | — |
| Cigna | OAP Other Commercial Plan | $25.06 | — |
| BCBS | Anthem Blue Access PPO | $27.94 | — |
Visitor-reported prices
Comments
Paliperidone 117 mg/0.75 ml inj at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $8,908.60 | $3,155.88 – $3,155.88 |
| Mercy Hospital Stoddard | Dexter | $7,126.88 | $14.79 – $8,233.68 |
| Mercy Orthopedic Hospital Springfield | Ozark | $7,150.64 | $14.82 – $1,258.90 |
| Mercy Primary Care - Bernie | Bernie | $2,688.30 | $14.73 – $15.18 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $15.43 – $25.06 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $15.43 – $25.06 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $14.73 – $28.03 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $17.57 – $25.06 |