Insertion subcutaneous cardiac rhythm monitor at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
$7,397.50
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.
$13,450.00
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.
$95.65 with BCBS vs $9,946.50 with Oscar — 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 | $95.65 | ↓ -99% |
| BCBS | Anthem Blue Access Choice PPO | $98.29 | ↓ -99% |
| BCBS | Anthem Blue Preferred HMO/POS | $98.75 | ↓ -99% |
| BCBS | Anthem Blue Access PPO | $106.51 | ↓ -99% |
| Aetna | Carelink Other Commercial Plan | $1,444.00 | ↓ -80% |
| Aetna | NBD Other Commercial Plan | $2,131.00 | ↓ -71% |
| Ambetter | Exchange | $2,167.00 | ↓ -71% |
| Aetna | All Commercial Plans | $2,414.00 | ↓ -67% |
| Healthlink | Employers Choice All Commercial Plans | $3,061.00 | ↓ -59% |
| Cigna | OAP Other Commercial Plan | $3,071.00 | ↓ -58% |
| Healthlink | HMO | $5,091.00 | ↓ -31% |
| UnitedHealthCare | St. Louis University Employee | $5,362.00 | ↓ -28% |
| UnitedHealthCare | All Commercial Plans | $5,935.00 | ↓ -20% |
| UnitedHealthCare | Options PPO | $6,757.00 | ↓ -9% |
| Aetna | Medicare Managed Care Plan | $8,288.75 | ↑ +12% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $8,371.64 | ↑ +13% |
| UnitedHealthCare | Medicare Managed Care Plan | $8,411.42 | ↑ +14% |
| BCBS | Anthem Medicare Managed Care Plan | $8,413.08 | ↑ +14% |
| Humana | Medicare Managed Care Plan | $8,429.66 | ↑ +14% |
| Aetna | Advantra Medicare Managed Care Plan | $8,578.86 | ↑ +16% |
| Oscar | Exchange | $9,946.50 | ↑ +34% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $7,397.50 | $95.65 – $9,946.50 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $7,397.50 | $95.65 – $9,946.50 |
| SSM Health Saint Louis University Hospital | Saint Louis | $6,600.00 | $109.83 – $9,946.50 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $7,397.50 | $95.65 – $5,362.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $7,397.50 | $95.65 – $9,946.50 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $10,836.13 | $2,277.00 – $14,919.75 |
| Mercy Hospital Southeast | Cape Girardeau | $21,812.39 | $72.17 – $53,179.57 |
| Mercy Orthopedic Hospital Springfield | Ozark | $21,381.29 | $72.54 – $15,681.74 |