Ankle X-ray at SSM Health St. Joseph Hospital - St. Charles

300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 10, 2026

$216.15

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$393.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$22.24 with BCBS vs $165.85 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 →

Payer
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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
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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 $22.24 ↓ -90%
BCBS Anthem Blue Access Choice PPO $22.86 ↓ -89%
BCBS Anthem Blue Preferred HMO/POS $22.97 ↓ -89%
BCBS Anthem Blue Access PPO $24.77 ↓ -89%
Cigna OAP Other Commercial Plan $49.15 ↓ -77%
Healthlink Employers Choice All Commercial Plans $69.49 ↓ -68%
Healthlink HMO $69.49 ↓ -68%
Aetna Medicare Managed Care Plan $87.17 ↓ -60%
Aetna Gold Advantage Medicare Managed Care Plan $88.04 ↓ -59%
UnitedHealthCare Medicare Managed Care Plan $88.46 ↓ -59%
BCBS Anthem Medicare Managed Care Plan $88.47 ↓ -59%
Humana Medicare Managed Care Plan $88.65 ↓ -59%
Aetna Advantra Medicare Managed Care Plan $90.22 ↓ -58%
Oscar Exchange $104.60 ↓ -52%
UnitedHealthCare Options PPO $161.80 ↓ -25%
UnitedHealthCare St. Louis University Employee $165.85 ↓ -23%
UnitedHealthCare All Commercial Plans $165.85 ↓ -23%

Visitor-reported prices

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Ankle X-ray at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $216.15 $22.24 – $104.60
SSM Health DePaul Hospital - St. Louis Bridgeton $216.15 $22.24 – $104.60
SSM Health Saint Louis University Hospital Saint Louis $304.70 $25.54 – $104.60
SSM Health St. Joseph Hospital- Wentzville Wentzville $216.15 $22.24 – $161.80
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $216.15 $22.24 – $104.60
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $244.75 $42.43 – $156.90
Mercy Hospital Aurora Aurora $461.50 $18.00 – $115.59
Mercy Hospital Lincoln Troy $518.05 $60.21 – $115.59

All Missouri hospitals for this procedure →