Herpes simplex virus isolation at SSM Health St. Mary's Hospital - Jefferson City
2505 Mission Drive, Jefferson City, MO · SSM Health · · NPI 1518065523
$37.40
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.
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What you pay up front if you don't use insurance.
$68.00
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.
$30.47 with UnitedHealthCare vs $98.48 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 |
|---|---|---|---|
| UnitedHealthCare | All Commercial Plans | $30.47 | ↓ -19% |
| UnitedHealthCare | Medicare Managed Care Plan | $33.67 | ↓ -10% |
| Centene Wellcare | Medicare Managed Care Plan | $33.86 | ↓ -9% |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $34.37 | ↓ -8% |
| Humana | Medicare Managed Care Plan | $34.44 | ↓ -8% |
| Essence | Medicare Managed Care Plan | $35.55 | ↓ -5% |
| Centurion | All Commercial Plans | $47.40 | ↑ +27% |
| Health Systems | All Commercial Plans | $57.56 | ↑ +54% |
| 6 Degress Health | All Commercial Plans | $60.95 | ↑ +63% |
| BCBS | Anthem Pathway Exchange | $88.37 | ↑ +136% |
| BCBS | Anthem Blue Preferred HMO/POS | $92.25 | ↑ +147% |
| BCBS | Anthem Blue Access PPO | $98.48 | ↑ +163% |
Visitor-reported prices
Comments
Herpes simplex virus isolation at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $99.55 | $33.86 – $139.65 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $99.55 | $33.86 – $139.65 |
| SSM Health Saint Louis University Hospital | Saint Louis | $52.25 | $33.18 – $72.33 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $99.55 | $33.86 – $139.65 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $99.55 | $33.86 – $139.65 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $99.55 | $33.86 – $139.65 |
| Mercy Hospital Carthage | Carthage | $115.05 | $28.78 – $125.38 |
| Mercy Hospital Southeast | Cape Girardeau | $139.75 | $30.47 – $121.63 |