Bx skin incisnl ea sep/add l les at SSM Health St. Mary's Hospital - St. Louis
6420 Clayton Rd, Richmond Heights, MO · SSM Health · · NPI 1780763284
$373.45
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.
?
What you pay up front if you don't use insurance.
$679.00
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.
$541.00 with UnitedHealthCare vs $2,414.00 with Aetna — 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 |
|---|---|---|---|
| UnitedHealthCare | St. Louis University Employee | $541.00 | ↑ +45% |
| BCBS | Anthem Pathway Exchange | $668.53 | ↑ +79% |
| BCBS | Anthem Blue Access Choice PPO | $686.97 | ↑ +84% |
| BCBS | Anthem Blue Preferred HMO/POS | $690.23 | ↑ +85% |
| UnitedHealthCare | All Commercial Plans | $719.00 | ↑ +93% |
| BCBS | Anthem Blue Access PPO | $744.45 | ↑ +99% |
| UnitedHealthCare | Options PPO | $932.00 | ↑ +150% |
| Healthlink | Employers Choice All Commercial Plans | $1,216.00 | ↑ +226% |
| Aetna | Carelink Other Commercial Plan | $1,444.00 | ↑ +287% |
| Healthlink | HMO | $2,024.00 | ↑ +442% |
| Aetna | NBD Other Commercial Plan | $2,131.00 | ↑ +471% |
| Ambetter | Exchange | $2,167.00 | ↑ +480% |
| Aetna | All Commercial Plans | $2,414.00 | ↑ +546% |
Visitor-reported prices
Comments
Bx skin incisnl ea sep/add l les at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $373.45 | $541.00 – $2,167.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $373.45 | $541.00 – $2,167.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $50.60 | $537.00 – $1,632.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $373.45 | $541.00 – $2,167.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $373.45 | $541.00 – $2,167.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $109.56 | $1,351.00 – $2,277.00 |
| Mercy Hospital Aurora | Aurora | $115.05 | $36.10 – $36.10 |
| Mercy Hospital Carthage | Carthage | $120.25 | $32.59 – $61.09 |