Colonoscopy w/control bleed at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
$778.80
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.
$1,416.00
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.
$348.25 with BCBS vs $3,213.00 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 |
|---|---|---|---|
| BCBS | Anthem Pathway Exchange | $348.25 | ↓ -55% |
| BCBS | Anthem Blue Access Choice PPO | $357.86 | ↓ -54% |
| BCBS | Anthem Blue Preferred HMO/POS | $359.56 | ↓ -54% |
| BCBS | Anthem Blue Access PPO | $387.80 | ↓ -50% |
| Aetna | Medicare Managed Care Plan | $1,198.57 | ↑ +54% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $1,210.56 | ↑ +55% |
| UnitedHealthCare | Medicare Managed Care Plan | $1,216.31 | ↑ +56% |
| BCBS | Anthem Medicare Managed Care Plan | $1,216.55 | ↑ +56% |
| Humana | Medicare Managed Care Plan | $1,218.95 | ↑ +57% |
| Aetna | Advantra Medicare Managed Care Plan | $1,240.52 | ↑ +59% |
| Oscar | Exchange | $1,438.29 | ↑ +85% |
| Healthlink | Employers Choice All Commercial Plans | $1,628.00 | ↑ +109% |
| Aetna | Carelink Other Commercial Plan | $1,944.00 | ↑ +150% |
| Ambetter | Exchange | $2,167.00 | ↑ +178% |
| UnitedHealthCare | All Commercial Plans | $2,363.00 | ↑ +203% |
| UnitedHealthCare | St. Louis University Employee | $2,371.00 | ↑ +204% |
| Cigna | OAP Other Commercial Plan | $2,680.00 | ↑ +244% |
| Healthlink | HMO | $2,709.00 | ↑ +248% |
| UnitedHealthCare | Options PPO | $2,783.00 | ↑ +257% |
| Aetna | NBD Other Commercial Plan | $2,835.00 | ↑ +264% |
| Aetna | All Commercial Plans | $3,213.00 | ↑ +313% |
Visitor-reported prices
Comments
Colonoscopy w/control bleed at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $778.80 | $348.25 – $2,680.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $778.80 | $348.25 – $2,680.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $778.80 | $348.25 – $2,680.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $778.80 | $348.25 – $2,680.00 |
| Mercy Hospital Carthage | Carthage | $3,874.13 | $382.28 – $2,445.12 |
| Mercy Hospital Southeast | Cape Girardeau | $6,899.76 | $214.14 – $7,689.88 |
| Mercy Orthopedic Hospital Springfield | Ozark | $4,688.33 | $215.21 – $2,307.00 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $778.80 | $348.25 – $2,680.00 |