Complx repair enel 2.6-7.5 cm 13152 at SSM Health St. Mary's Hospital - Jefferson City
2505 Mission Drive, Jefferson City, MO · SSM Health · · NPI 1518065523
$787.38
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.
$1,431.60
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.
$736.19 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 | $736.19 | ↓ -7% |
| Centene Wellcare | Medicare Managed Care Plan | $740.27 | ↓ -6% |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $751.37 | ↓ -5% |
| Humana | Medicare Managed Care Plan | $752.85 | ↓ -4% |
| Essence | Medicare Managed Care Plan | $777.28 | ↓ -1% |
| Centurion | All Commercial Plans | $1,036.37 | ↑ +32% |
| Health Systems | All Commercial Plans | $1,258.45 | ↑ +60% |
| 6 Degress Health | All Commercial Plans | $1,332.48 | ↑ +69% |
| UnitedHealthCare | All Commercial Plans | $1,351.00 | ↑ +72% |
| Cigna | All Commercial Plans | $2,034.00 | ↑ +158% |
| Centene Ambetter | Exchange | $2,277.00 | ↑ +189% |
Visitor-reported prices
Comments
Complx repair enel 2.6-7.5 cm 13152 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,742.95 | $367.90 – $3,071.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,742.95 | $367.90 – $3,071.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $2,421.65 | $422.43 – $2,496.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,742.95 | $367.90 – $3,886.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,742.95 | $367.90 – $3,071.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,742.95 | $367.90 – $3,071.00 |
| Mercy Hospital Aurora | Aurora | $1,122.55 | $271.97 – $803.62 |
| Mercy Hospital Lincoln | Troy | $1,166.10 | $521.83 – $803.62 |