Candida dna at SSM Health St. Mary's Hospital - Jefferson City
2505 Mission Drive, Jefferson City, MO · SSM Health · · NPI 1518065523
$59.40
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.
$108.00
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.
$18.05 with UnitedHealthCare vs $58.32 with BCBS — 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 |
|---|---|---|---|
| UnitedHealthCare | All Commercial Plans | $18.05 | ↓ -70% |
| UnitedHealthCare | Medicare Managed Care Plan | $19.94 | ↓ -66% |
| Centene Wellcare | Medicare Managed Care Plan | $20.05 | ↓ -66% |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $20.35 | ↓ -66% |
| Humana | Medicare Managed Care Plan | $20.39 | ↓ -66% |
| Essence | Medicare Managed Care Plan | $21.05 | ↓ -65% |
| Centurion | All Commercial Plans | $28.07 | ↓ -53% |
| Health Systems | All Commercial Plans | $34.08 | ↓ -43% |
| 6 Degress Health | All Commercial Plans | $36.09 | ↓ -39% |
| BCBS | Anthem Pathway Exchange | $52.34 | ↓ -12% |
| BCBS | Anthem Blue Preferred HMO/POS | $54.64 | ↓ -8% |
| BCBS | Anthem Blue Access PPO | $58.32 | ↓ -2% |
Visitor-reported prices
Comments
Candida dna at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $61.10 | $20.05 – $28.40 |
| Mercy Hospital Carthage | Carthage | $55.25 | $17.04 – $74.25 |
| Mercy Hospital Southeast | Cape Girardeau | $59.80 | $18.05 – $72.02 |
| Mercy Hospital Stoddard | Dexter | $59.80 | $18.05 – $70.18 |
| Mercy Orthopedic Hospital Springfield | Ozark | $91.00 | $15.28 – $117.35 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $20.05 – $82.70 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $20.05 – $82.70 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $19.65 – $42.83 |