Clsd tx bimalleol ank fx without manip 27808 at SSM Health St. Mary's Hospital - St. Louis
6420 Clayton Rd, Richmond Heights, MO · SSM Health · · NPI 1780763284
$526.35
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.
$957.00
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.
$247.07 with Aetna vs $2,414.00 with Aetna — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $247.07 | ↓ -53% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $249.54 | ↓ -53% |
| UnitedHealthCare | Medicare Managed Care Plan | $250.72 | ↓ -52% |
| BCBS | Anthem Medicare Managed Care Plan | $250.77 | ↓ -52% |
| Humana | Medicare Managed Care Plan | $251.27 | ↓ -52% |
| Oscar | Exchange | $296.48 | ↓ -44% |
| BCBS | Anthem Pathway Exchange | $313.66 | ↓ -40% |
| BCBS | Anthem Blue Access Choice PPO | $322.31 | ↓ -39% |
| BCBS | Anthem Blue Preferred HMO/POS | $323.84 | ↓ -38% |
| BCBS | Anthem Blue Access PPO | $349.28 | ↓ -34% |
| UnitedHealthCare | St. Louis University Employee | $541.00 | ↑ +3% |
| UnitedHealthCare | All Commercial Plans | $719.00 | ↑ +37% |
| UnitedHealthCare | Options PPO | $932.00 | ↑ +77% |
| Healthlink | Employers Choice All Commercial Plans | $1,216.00 | ↑ +131% |
| Aetna | Carelink Other Commercial Plan | $1,444.00 | ↑ +174% |
| Cigna | OAP Other Commercial Plan | $2,004.00 | ↑ +281% |
| Healthlink | HMO | $2,024.00 | ↑ +285% |
| Aetna | NBD Other Commercial Plan | $2,131.00 | ↑ +305% |
| Ambetter | Exchange | $2,167.00 | ↑ +312% |
| Aetna | All Commercial Plans | $2,414.00 | ↑ +359% |
Visitor-reported prices
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Clsd tx bimalleol ank fx without manip 27808 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $526.35 | $247.07 – $2,167.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $526.35 | $247.07 – $2,167.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $526.35 | $313.66 – $3,886.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $526.35 | $247.07 – $2,167.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $171.60 | $245.71 – $2,277.00 |
| Mercy Hospital Aurora | Aurora | $700.05 | $135.21 – $322.95 |
| Mercy Hospital Lincoln | Troy | $762.45 | $204.50 – $314.93 |
| Mercy Hospital Carthage | Carthage | $620.10 | $204.50 – $351.50 |