Target gsa panel organ neop at SSM Health St. Mary's Hospital - Jefferson City
2505 Mission Drive, Jefferson City, MO · SSM Health · · NPI 1518065523
not published by hospital
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.
not published by hospital
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.
$538.12 with UnitedHealthCare vs $1,264.88 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 | $538.12 | — |
| UnitedHealthCare | Medicare Managed Care Plan | $594.62 | — |
| Centene Wellcare | Medicare Managed Care Plan | $597.91 | — |
| BCBS | Anthem Medicare Managed Care - HMO/PPO | $606.88 | — |
| Humana | Medicare Managed Care Plan | $608.07 | — |
| Essence | Medicare Managed Care Plan | $627.81 | — |
| Centurion | All Commercial Plans | $837.07 | — |
| Health Systems | All Commercial Plans | $1,016.45 | — |
| 6 Degress Health | All Commercial Plans | $1,076.24 | — |
| BCBS | Anthem Pathway Exchange | $1,135.07 | — |
| BCBS | Anthem Blue Preferred HMO/POS | $1,184.94 | — |
| BCBS | Anthem Blue Access PPO | $1,264.88 | — |
Visitor-reported prices
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Target gsa panel organ neop at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $1,911.00 | $616.45 – $828.70 |
| Mercy Hospital Lincoln | Troy | $2,243.15 | $418.77 – $828.70 |
| Mercy Hospital Carthage | Carthage | $2,178.80 | $89.83 – $2,214.06 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,491.75 | $455.61 – $3,148.99 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $11,910.99 | $303.14 – $1,067.04 |
| CENTERPOINT MEDICAL CENTER | Independence | $5,787.06 | $303.14 – $1,067.04 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington | $12,051.00 | $565.03 – $1,067.04 |
| RESEARCH MEDICAL CENTER | Kansas City | $14,347.14 | $303.14 – $1,067.04 |