Prq av fstl crt uxtr sep acs at SSM Health St. Joseph Hospital - Lake Saint Louis
100 Medical Plaza, Lake Saint Louis, MO · SSM Health · · NPI 1871665380
$12,375.00
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.
$22,500.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$472.24 with BCBS vs $37,379.00 with Healthlink — 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 | $472.24 | ↓ -96% |
| BCBS | Anthem Blue Access Choice PPO | $485.27 | ↓ -96% |
| BCBS | Anthem Blue Preferred HMO/POS | $487.57 | ↓ -96% |
| BCBS | Anthem Blue Access PPO | $525.88 | ↓ -96% |
| Healthlink | Employers Choice All Commercial Plans | $1,865.00 | ↓ -85% |
| Ambetter | Exchange | $2,167.00 | ↓ -82% |
| Cigna | OAP Other Commercial Plan | $3,071.00 | ↓ -75% |
| Aetna | Carelink Other Commercial Plan | $4,223.00 | ↓ -66% |
| UnitedHealthCare | St. Louis University Employee | $5,362.00 | ↓ -57% |
| Aetna | All Commercial Plans | $7,154.00 | ↓ -42% |
| Aetna | NBD Other Commercial Plan | $12,942.00 | ↑ +5% |
| UnitedHealthCare | All Commercial Plans | $15,920.00 | ↑ +29% |
| Aetna | Medicare Managed Care Plan | $18,361.23 | ↑ +48% |
| UnitedHealthCare | Options PPO | $18,468.00 | ↑ +49% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $18,544.85 | ↑ +50% |
| UnitedHealthCare | Medicare Managed Care Plan | $18,632.98 | ↑ +51% |
| BCBS | Anthem Medicare Managed Care Plan | $18,636.65 | ↑ +51% |
| Humana | Medicare Managed Care Plan | $18,673.37 | ↑ +51% |
| Aetna | Advantra Medicare Managed Care Plan | $19,003.88 | ↑ +54% |
| Oscar | Exchange | $22,033.48 | ↑ +78% |
| Healthlink | HMO | $32,026.00 | ↑ +159% |
| Healthlink | PPO | $37,379.00 | ↑ +202% |
Visitor-reported prices
Comments
Prq av fstl crt uxtr sep acs at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $12,375.00 | $472.24 – $22,033.48 |
| SSM Health Saint Louis University Hospital | Saint Louis | $20,345.60 | $542.25 – $31,768.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $12,375.00 | $472.24 – $5,362.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $12,375.00 | $472.24 – $22,033.48 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $12,375.00 | $472.24 – $22,033.48 |
| Mercy Hospital Southeast | Cape Girardeau | $58,223.20 | $385.12 – $117,803.41 |
| Mercy Orthopedic Hospital Springfield | Ozark | $14,901.25 | not published |
| SSM Health St. Clare Hospital - Fenton | Fenton | $12,375.00 | $472.24 – $22,033.48 |