Pulmonary vent imaging at SSM Health St. Mary's Hospital - Jefferson City
2505 Mission Drive, Jefferson City, MO · SSM Health · · NPI 1518065523
$772.86
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.
$1,405.20
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.
?
The hospital's undiscounted list price — almost no one pays this.
$320.68 with BCBS vs $848.52 with UnitedHealthCare — 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 |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $320.68 | ↓ -59% |
| BCBS | Anthem Blue Preferred HMO/POS | $334.77 | ↓ -57% |
| BCBS | Anthem Blue Access PPO | $357.35 | ↓ -54% |
| UnitedHealthCare | Medicare Managed Care Plan | $398.21 | ↓ -48% |
| Centene Wellcare | Medicare Managed Care Plan | $400.42 | ↓ -48% |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $406.42 | ↓ -47% |
| Humana | Medicare Managed Care Plan | $407.22 | ↓ -47% |
| Essence | Medicare Managed Care Plan | $420.44 | ↓ -46% |
| Centurion | All Commercial Plans | $560.58 | ↓ -27% |
| Health Systems | All Commercial Plans | $680.71 | ↓ -12% |
| 6 Degress Health | All Commercial Plans | $720.75 | ↓ -7% |
| UnitedHealthCare | All Commercial Plans | $848.52 | ↑ +10% |
Visitor-reported prices
Comments
Pulmonary vent imaging at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $574.75 | $168.12 – $520.64 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $574.75 | $168.12 – $520.64 |
| SSM Health Saint Louis University Hospital | Saint Louis | $766.15 | $193.04 – $480.50 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $574.75 | $168.12 – $754.24 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $574.75 | $168.12 – $520.64 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $574.75 | $168.12 – $520.64 |
| Mercy Hospital Aurora | Aurora | $921.05 | $161.27 – $527.53 |
| Mercy Hospital Southeast | Cape Girardeau | $724.10 | $264.27 – $1,568.32 |