Bundle his recording at SSM Health St. Mary's Hospital - St. Louis
6420 Clayton Rd, Richmond Heights, MO · SSM Health · · NPI 1780763284
$3,321.45
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.
$6,039.00
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.
$89.61 with BCBS vs $10,423.00 with UnitedHealthCare — 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 | $89.61 | ↓ -97% |
| BCBS | Anthem Blue Access Choice PPO | $92.08 | ↓ -97% |
| BCBS | Anthem Blue Preferred HMO/POS | $92.52 | ↓ -97% |
| BCBS | Anthem Blue Access PPO | $99.79 | ↓ -97% |
| Healthlink | Employers Choice All Commercial Plans | $2,302.00 | ↓ -31% |
| Healthlink | HMO | $3,829.00 | ↑ +15% |
| Aetna | Carelink Other Commercial Plan | $4,223.00 | ↑ +27% |
| Aetna | NBD Other Commercial Plan | $6,314.00 | ↑ +90% |
| Aetna | All Commercial Plans | $7,154.00 | ↑ +115% |
| Ambetter | Exchange | $7,297.00 | ↑ +120% |
| Aetna | Medicare Managed Care Plan | $7,812.26 | ↑ +135% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $7,890.38 | ↑ +138% |
| UnitedHealthCare | Medicare Managed Care Plan | $7,927.88 | ↑ +139% |
| BCBS | Anthem Medicare Managed Care Plan | $7,929.44 | ↑ +139% |
| Humana | Medicare Managed Care Plan | $7,945.06 | ↑ +139% |
| UnitedHealthCare | St. Louis University Employee | $8,427.00 | ↑ +154% |
| UnitedHealthCare | All Commercial Plans | $9,329.00 | ↑ +181% |
| Oscar | Exchange | $9,374.71 | ↑ +182% |
| UnitedHealthCare | Options PPO | $10,423.00 | ↑ +214% |
Visitor-reported prices
Comments
Bundle his recording at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $3,321.45 | $89.61 – $9,374.71 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $3,321.45 | $89.61 – $9,374.71 |
| SSM Health Saint Louis University Hospital | Saint Louis | $2,805.00 | $102.89 – $9,374.71 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $3,321.45 | $89.61 – $8,427.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $3,321.45 | $89.61 – $9,374.71 |
| Mercy Orthopedic Hospital Springfield | Ozark | $6,964.75 | $66.00 – $14,780.25 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $3,321.45 | $89.61 – $9,374.71 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $4,584.92 | $87.53 – $7,786.00 |