Appendix Removal (Laparoscopic) at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$643.48 with BCBS vs $10,806.00 with Cigna — 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 |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $643.48 | — |
| BCBS | Anthem Blue Access Choice PPO | $661.22 | — |
| BCBS | Anthem Blue Preferred HMO/POS | $664.37 | — |
| BCBS | Anthem Blue Access PPO | $716.56 | — |
| Healthlink | Employers Choice All Commercial Plans | $4,065.00 | — |
| Ambetter | Exchange | $4,882.00 | — |
| Aetna | Carelink Other Commercial Plan | $5,286.00 | — |
| Aetna | Medicare Managed Care Plan | $6,055.29 | — |
| Aetna | Gold Advantage Medicare Managed Care Plan | $6,115.84 | — |
| UnitedHealthCare | Medicare Managed Care Plan | $6,144.91 | — |
| BCBS | Anthem Medicare Managed Care Plan | $6,146.12 | — |
| Humana | Medicare Managed Care Plan | $6,158.23 | — |
| Aetna | Advantra Medicare Managed Care Plan | $6,267.22 | — |
| Aetna | NBD Other Commercial Plan | $6,504.00 | — |
| Healthlink | HMO | $6,762.00 | — |
| Oscar | Exchange | $7,266.35 | — |
| Aetna | All Commercial Plans | $7,370.00 | — |
| UnitedHealthCare | St. Louis University Employee | $7,480.00 | — |
| UnitedHealthCare | All Commercial Plans | $8,482.00 | — |
| UnitedHealthCare | Options PPO | $10,157.00 | — |
| Cigna | OAP Other Commercial Plan | $10,806.00 | — |
Visitor-reported prices
Comments
Appendix Removal (Laparoscopic) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $8,727.00 | $363.00 – $6,963.17 |
| Mercy Hospital Lincoln | Troy | $10,447.81 | $4,973.69 – $7,339.18 |
| Mercy Hospital Carthage | Carthage | $9,602.34 | $456.89 – $12,352.94 |
| Mercy Hospital Southeast | Cape Girardeau | $21,071.58 | $539.29 – $38,849.99 |
| Mercy Orthopedic Hospital Springfield | Ozark | $18,364.70 | $363.00 – $11,456.19 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $643.48 – $10,806.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $643.48 – $10,806.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $738.86 – $7,290.00 |