Cath plc art/grft/angio right hrt at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
$5,275.60
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.
$9,592.00
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.
$905.72 with BCBS vs $27,154.00 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 |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $905.72 | ↓ -83% |
| BCBS | Anthem Blue Access Choice PPO | $930.70 | ↓ -82% |
| BCBS | Anthem Blue Preferred HMO/POS | $935.12 | ↓ -82% |
| BCBS | Anthem Blue Access PPO | $1,008.58 | ↓ -81% |
| Aetna | Medicare Managed Care Plan | $3,247.17 | ↓ -38% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $3,279.64 | ↓ -38% |
| UnitedHealthCare | Medicare Managed Care Plan | $3,295.22 | ↓ -38% |
| BCBS | Anthem Medicare Managed Care Plan | $3,295.87 | ↓ -38% |
| Humana | Medicare Managed Care Plan | $3,302.37 | ↓ -37% |
| Aetna | Advantra Medicare Managed Care Plan | $3,360.82 | ↓ -36% |
| Oscar | Exchange | $3,896.60 | ↓ -26% |
| Aetna | Carelink Other Commercial Plan | $5,773.00 | ↑ +9% |
| Aetna | NBD Other Commercial Plan | $7,104.00 | ↑ +35% |
| Ambetter | Exchange | $7,297.00 | ↑ +38% |
| Aetna | All Commercial Plans | $8,050.00 | ↑ +53% |
| Healthlink | Employers Choice All Commercial Plans | $8,380.00 | ↑ +59% |
| UnitedHealthCare | St. Louis University Employee | $8,427.00 | ↑ +60% |
| UnitedHealthCare | All Commercial Plans | $9,329.00 | ↑ +77% |
| UnitedHealthCare | Options PPO | $10,423.00 | ↑ +98% |
| Healthlink | HMO | $13,939.00 | ↑ +164% |
| Healthlink | PPO | $27,154.00 | ↑ +415% |
Visitor-reported prices
Comments
Cath plc art/grft/angio right hrt at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $5,275.60 | $905.72 – $8,380.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $5,275.60 | $905.72 – $8,380.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $7,700.00 | $1,039.98 – $8,353.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $5,275.60 | $905.72 – $8,427.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $5,275.60 | $905.72 – $8,380.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $4,390.57 | $1,521.89 – $7,666.00 |
| Mercy Hospital Southeast | Cape Girardeau | $15,398.50 | $721.03 – $20,833.40 |
| Mercy Orthopedic Hospital Springfield | Ozark | $15,492.75 | $194.88 – $6,143.41 |