Surgical pathology level 5 gross & microscopic examination at SSM Health St. Mary's Hospital - Jefferson City
2505 Mission Drive, Jefferson City, MO · SSM Health · · NPI 1518065523
$315.70
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.
$574.00
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.
$262.13 with UnitedHealthCare vs $646.24 with 6 Degress Health — 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 | $262.13 | ↓ -17% |
| BCBS | Anthem Pathway Exchange | $348.03 | ↑ +10% |
| UnitedHealthCare | Medicare Managed Care Plan | $357.05 | ↑ +13% |
| Centene Wellcare | Medicare Managed Care Plan | $359.02 | ↑ +14% |
| BCBS | Anthem Blue Preferred HMO/POS | $363.32 | ↑ +15% |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $364.41 | ↑ +15% |
| Humana | Medicare Managed Care Plan | $365.13 | ↑ +16% |
| Essence | Medicare Managed Care Plan | $376.98 | ↑ +19% |
| BCBS | Anthem Blue Access PPO | $387.83 | ↑ +23% |
| Centurion | All Commercial Plans | $502.63 | ↑ +59% |
| Health Systems | All Commercial Plans | $610.34 | ↑ +93% |
| 6 Degress Health | All Commercial Plans | $646.24 | ↑ +105% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $372.90 | $220.81 – $583.70 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $372.90 | $220.81 – $583.70 |
| SSM Health Saint Louis University Hospital | Saint Louis | $603.90 | $253.54 – $430.83 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $372.90 | $220.81 – $583.70 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $372.90 | $220.81 – $583.70 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $372.90 | $220.81 – $583.70 |
| Mercy Hospital Aurora | Aurora | $299.00 | $53.00 – $472.24 |
| Mercy Hospital Stoddard | Dexter | $291.85 | $171.31 – $2,303.45 |