Clsd tx metatarsal fracture w/manip 28475 at SSM Health St. Mary's Hospital - Jefferson City
2505 Mission Drive, Jefferson City, MO · SSM Health · · NPI 1518065523
$703.56
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.
$1,279.20
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.
$245.71 with UnitedHealthCare vs $2,277.00 with Centene Ambetter — 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 | Medicare Managed Care Plan | $245.71 | ↓ -65% |
| Centene Wellcare | Medicare Managed Care Plan | $247.07 | ↓ -65% |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $250.77 | ↓ -64% |
| Humana | Medicare Managed Care Plan | $251.27 | ↓ -64% |
| Essence | Medicare Managed Care Plan | $259.42 | ↓ -63% |
| Centurion | All Commercial Plans | $345.89 | ↓ -51% |
| Health Systems | All Commercial Plans | $420.01 | ↓ -40% |
| 6 Degress Health | All Commercial Plans | $444.72 | ↓ -37% |
| UnitedHealthCare | All Commercial Plans | $1,351.00 | ↑ +92% |
| Centene Ambetter | Exchange | $2,277.00 | ↑ +224% |
Visitor-reported prices
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Clsd tx metatarsal fracture w/manip 28475 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $707.30 | $240.06 – $2,302.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $707.30 | $240.06 – $2,302.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,065.90 | $242.12 – $3,085.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $707.30 | $240.06 – $2,302.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $707.30 | $240.06 – $2,302.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $707.30 | $240.06 – $2,302.00 |
| Mercy Hospital Aurora | Aurora | $497.90 | $135.21 – $314.93 |
| Mercy Hospital Lincoln | Troy | $685.10 | $204.50 – $314.93 |