Serpina1 gene at SSM Health St. Joseph Hospital - Lake Saint Louis
100 Medical Plaza, Lake Saint Louis, MO · SSM Health · · NPI 1871665380
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.
$43.65 with UnitedHealthCare vs $179.99 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 |
|---|---|---|---|
| UnitedHealthCare | Options PPO | $43.65 | — |
| Oscar | Exchange | $43.65 | — |
| UnitedHealthCare | St. Louis University Employee | $43.65 | — |
| UnitedHealthCare | All Commercial Plans | $43.65 | — |
| Aetna | Gold Advantage Medicare Managed Care Plan | $44.09 | — |
| UnitedHealthCare | Medicare Managed Care Plan | $44.30 | — |
| BCBS | Anthem Medicare Managed Care Plan | $44.30 | — |
| Humana | Medicare Managed Care Plan | $44.39 | — |
| Aetna | Advantra Medicare Managed Care Plan | $45.18 | — |
| BCBS | Anthem Pathway Exchange | $62.03 | — |
| BCBS | Anthem Blue Access Choice PPO | $63.74 | — |
| BCBS | Anthem Blue Preferred HMO/POS | $64.05 | — |
| BCBS | Anthem Blue Access PPO | $69.08 | — |
| Cigna | OAP Other Commercial Plan | $73.75 | — |
| Healthlink | HMO | $179.99 | — |
| Healthlink | Employers Choice All Commercial Plans | $179.99 | — |
Visitor-reported prices
Comments
Serpina1 gene at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | $595.65 | $42.78 – $93.23 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $284.90 | $39.29 – $78.57 |
| Mercy Hospital Southeast | Cape Girardeau | $287.30 | $39.29 – $156.79 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $85.25 | $43.65 – $85.12 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $1,078.43 | $22.13 – $96.37 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $1,083.00 | $22.13 – $96.37 |
| CENTERPOINT MEDICAL CENTER | Independence | $819.97 | $22.13 – $96.37 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington | $897.67 | $41.24 – $96.37 |