Prq trlml c athrc st angiop1 at SSM Health St. Joseph Hospital - Lake Saint Louis
100 Medical Plaza, Lake Saint Louis, MO · SSM Health · · NPI 1871665380
$11,723.25
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.
$21,315.00
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.
$733.23 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 | $733.23 | ↓ -94% |
| BCBS | Anthem Blue Access Choice PPO | $753.46 | ↓ -94% |
| BCBS | Anthem Blue Preferred HMO/POS | $757.04 | ↓ -94% |
| BCBS | Anthem Blue Access PPO | $816.51 | ↓ -93% |
| Aetna | Carelink Other Commercial Plan | $10,518.00 | ↓ -10% |
| Ambetter | Exchange | $12,450.00 | ↑ +6% |
| Aetna | NBD Other Commercial Plan | $12,942.00 | ↑ +10% |
| UnitedHealthCare | St. Louis University Employee | $14,383.00 | ↑ +23% |
| Aetna | All Commercial Plans | $14,666.00 | ↑ +25% |
| Healthlink | Employers Choice All Commercial Plans | $14,864.00 | ↑ +27% |
| UnitedHealthCare | All Commercial Plans | $15,920.00 | ↑ +36% |
| Aetna | Medicare Managed Care Plan | $18,361.23 | ↑ +57% |
| UnitedHealthCare | Options PPO | $18,468.00 | ↑ +58% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $18,544.85 | ↑ +58% |
| UnitedHealthCare | Medicare Managed Care Plan | $18,632.98 | ↑ +59% |
| BCBS | Anthem Medicare Managed Care Plan | $18,636.65 | ↑ +59% |
| Humana | Medicare Managed Care Plan | $18,673.37 | ↑ +59% |
| Cigna | OAP Other Commercial Plan | $18,730.00 | ↑ +60% |
| Aetna | Advantra Medicare Managed Care Plan | $19,003.88 | ↑ +62% |
| Oscar | Exchange | $22,033.48 | ↑ +88% |
| Healthlink | HMO | $24,723.00 | ↑ +111% |
| Healthlink | PPO | $43,282.00 | ↑ +269% |
Visitor-reported prices
Comments
Prq trlml c athrc st angiop1 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $11,723.25 | $733.23 – $22,033.48 |
| SSM Health Saint Louis University Hospital | Saint Louis | $27,500.00 | $841.92 – $22,033.48 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $11,723.25 | $733.23 – $18,730.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $11,723.25 | $733.23 – $22,033.48 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $11,723.25 | $733.23 – $22,033.48 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $6,707.86 | $1,242.73 – $33,050.22 |
| Mercy Hospital Southeast | Cape Girardeau | $20,140.90 | $12,118.41 – $71,915.40 |
| Mercy Orthopedic Hospital Springfield | Ozark | $21,406.45 | $320.00 – $34,738.19 |