Fem/popl revasc w/stent at SSM Health St. Joseph Hospital - Lake Saint Louis
100 Medical Plaza, Lake Saint Louis, MO · SSM Health · · NPI 1871665380
$11,590.15
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.
$21,073.00
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.
$590.97 with BCBS vs $43,282.00 with Healthlink — 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 | $590.97 | ↓ -95% |
| BCBS | Anthem Blue Access Choice PPO | $607.27 | ↓ -95% |
| BCBS | Anthem Blue Preferred HMO/POS | $610.15 | ↓ -95% |
| BCBS | Anthem Blue Access PPO | $658.09 | ↓ -94% |
| Aetna | Carelink Other Commercial Plan | $10,518.00 | ↓ -9% |
| Ambetter | Exchange | $12,450.00 | ↑ +7% |
| Aetna | NBD Other Commercial Plan | $12,942.00 | ↑ +12% |
| UnitedHealthCare | St. Louis University Employee | $14,383.00 | ↑ +24% |
| Aetna | All Commercial Plans | $14,666.00 | ↑ +27% |
| Healthlink | Employers Choice All Commercial Plans | $14,864.00 | ↑ +28% |
| UnitedHealthCare | All Commercial Plans | $15,920.00 | ↑ +37% |
| UnitedHealthCare | Options PPO | $18,468.00 | ↑ +59% |
| Cigna | OAP Other Commercial Plan | $18,730.00 | ↑ +62% |
| Healthlink | HMO | $24,723.00 | ↑ +113% |
| Healthlink | PPO | $43,282.00 | ↑ +273% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $11,590.15 | $590.97 – $18,730.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $12,100.00 | $678.57 – $16,449.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $11,590.15 | $590.97 – $18,730.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $11,590.15 | $590.97 – $18,730.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $11,590.15 | $590.97 – $18,730.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $10,836.13 | $13,080.00 – $14,326.00 |
| Mercy Hospital Southeast | Cape Girardeau | $44,447.90 | $25.19 – $117,803.41 |
| Mercy Orthopedic Hospital Springfield | Ozark | $25,488.88 | $3.86 – $18,728.07 |