Breath test analysis c-14 at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
$397.10
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.
$722.00
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.
$94.41 with Oscar vs $315.33 with Healthlink — 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 |
|---|---|---|---|
| Oscar | Exchange | $94.41 | ↓ -76% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $95.35 | ↓ -76% |
| BCBS | Anthem Pathway Exchange | $95.72 | ↓ -76% |
| UnitedHealthCare | Medicare Managed Care Plan | $95.81 | ↓ -76% |
| BCBS | Anthem Medicare Managed Care Plan | $95.83 | ↓ -76% |
| Humana | Medicare Managed Care Plan | $96.01 | ↓ -76% |
| Aetna | Advantra Medicare Managed Care Plan | $97.71 | ↓ -75% |
| BCBS | Anthem Blue Access Choice PPO | $98.36 | ↓ -75% |
| BCBS | Anthem Blue Preferred HMO/POS | $98.83 | ↓ -75% |
| BCBS | Anthem Blue Access PPO | $106.59 | ↓ -73% |
| Cigna | OAP Other Commercial Plan | $159.50 | ↓ -60% |
| UnitedHealthCare | Options PPO | $188.82 | ↓ -52% |
| UnitedHealthCare | All Commercial Plans | $193.54 | ↓ -51% |
| UnitedHealthCare | St. Louis University Employee | $193.54 | ↓ -51% |
| Healthlink | HMO | $315.33 | ↓ -21% |
| Healthlink | Employers Choice All Commercial Plans | $315.33 | ↓ -21% |
Visitor-reported prices
Comments
Breath test analysis c-14 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $397.10 | $94.41 – $315.33 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $397.10 | $94.41 – $315.33 |
| SSM Health Saint Louis University Hospital | Saint Louis | $166.65 | $92.52 – $163.33 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $397.10 | $95.72 – $315.33 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $397.10 | $94.41 – $315.33 |
| Mercy Hospital Southeast | Cape Girardeau | $330.85 | $84.97 – $339.12 |
| Mercy Orthopedic Hospital Springfield | Ozark | $550.55 | $54.67 – $497.23 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $397.10 | $94.41 – $315.33 |