Ablate heart dysrhythm focus at SSM Health St. Joseph Hospital - Lake Saint Louis
100 Medical Plaza, Lake Saint Louis, MO · SSM Health · · NPI 1871665380
$6,096.20
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.
$11,084.00
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.
$650.06 with BCBS vs $21,841.00 with Aetna — 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 |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $650.06 | ↓ -89% |
| BCBS | Anthem Blue Access Choice PPO | $667.98 | ↓ -89% |
| BCBS | Anthem Blue Preferred HMO/POS | $671.16 | ↓ -89% |
| BCBS | Anthem Blue Access PPO | $723.88 | ↓ -88% |
| Healthlink | Employers Choice All Commercial Plans | $2,302.00 | ↓ -62% |
| Healthlink | HMO | $3,829.00 | ↓ -37% |
| Aetna | Carelink Other Commercial Plan | $4,223.00 | ↓ -31% |
| Ambetter | Exchange | $7,297.00 | ↑ +20% |
| Aetna | Medicare Managed Care Plan | $7,812.26 | ↑ +28% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $7,890.38 | ↑ +29% |
| UnitedHealthCare | Medicare Managed Care Plan | $7,927.88 | ↑ +30% |
| BCBS | Anthem Medicare Managed Care Plan | $7,929.44 | ↑ +30% |
| Humana | Medicare Managed Care Plan | $7,945.06 | ↑ +30% |
| Aetna | Advantra Medicare Managed Care Plan | $8,085.69 | ↑ +33% |
| Oscar | Exchange | $9,374.71 | ↑ +54% |
| UnitedHealthCare | St. Louis University Employee | $14,460.00 | ↑ +137% |
| UnitedHealthCare | All Commercial Plans | $16,399.00 | ↑ +169% |
| Aetna | NBD Other Commercial Plan | $19,274.00 | ↑ +216% |
| UnitedHealthCare | Options PPO | $19,637.00 | ↑ +222% |
| Aetna | All Commercial Plans | $21,841.00 | ↑ +258% |
Visitor-reported prices
Comments
Ablate heart dysrhythm focus at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $6,096.20 | $650.06 – $9,374.71 |
| SSM Health Saint Louis University Hospital | Saint Louis | $18,150.00 | $746.42 – $26,356.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $6,096.20 | $650.06 – $14,460.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $6,096.20 | $650.06 – $9,374.71 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $6,096.20 | $650.06 – $9,374.71 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $6,913.20 | $1,072.12 – $14,062.06 |
| Mercy Hospital Southeast | Cape Girardeau | $14,461.20 | $5,156.09 – $50,122.46 |
| Mercy Orthopedic Hospital Springfield | Ozark | $14,844.70 | $435.41 – $14,780.25 |