Asp & inj w/heparin pleurx cath at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
$1,173.70
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.
$2,134.00
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.
$628.32 with Aetna vs $4,261.00 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 | $628.32 | ↓ -46% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $634.60 | ↓ -46% |
| UnitedHealthCare | Medicare Managed Care Plan | $637.61 | ↓ -46% |
| BCBS | Anthem Medicare Managed Care Plan | $637.74 | ↓ -46% |
| Humana | Medicare Managed Care Plan | $639.00 | ↓ -46% |
| Aetna | Advantra Medicare Managed Care Plan | $650.31 | ↓ -45% |
| Oscar | Exchange | $753.98 | ↓ -36% |
| UnitedHealthCare | All Commercial Plans | $1,775.00 | ↑ +51% |
| UnitedHealthCare | St. Louis University Employee | $1,781.00 | ↑ +52% |
| UnitedHealthCare | Options PPO | $2,087.00 | ↑ +78% |
| Ambetter | Exchange | $2,167.00 | ↑ +85% |
| Healthlink | Employers Choice All Commercial Plans | $2,302.00 | ↑ +96% |
| Aetna | Carelink Other Commercial Plan | $2,444.00 | ↑ +108% |
| Cigna | OAP Other Commercial Plan | $3,071.00 | ↑ +162% |
| Aetna | NBD Other Commercial Plan | $3,760.00 | ↑ +220% |
| Healthlink | HMO | $3,829.00 | ↑ +226% |
| Aetna | All Commercial Plans | $4,261.00 | ↑ +263% |
Visitor-reported prices
Comments
Asp & inj w/heparin pleurx cath at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,173.70 | $628.32 – $3,071.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,173.70 | $628.32 – $3,071.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,173.70 | $1,775.00 – $3,071.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,173.70 | $628.32 – $3,071.00 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $1,173.70 | $628.32 – $3,071.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $615.75 – $3,085.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $624.86 – $2,277.00 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $1,716.00 – $4,510.00 |