Intro cath dialysis circuit w/stent plcmnt at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
$10,195.35
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.
?
What you pay up front if you don't use insurance.
$18,537.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$320.12 with BCBS vs $13,875.39 with Oscar — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $320.12 | ↓ -97% |
| BCBS | Anthem Blue Access Choice PPO | $328.95 | ↓ -97% |
| BCBS | Anthem Blue Preferred HMO/POS | $330.51 | ↓ -97% |
| BCBS | Anthem Blue Access PPO | $356.48 | ↓ -97% |
| Healthlink | Employers Choice All Commercial Plans | $2,624.00 | ↓ -74% |
| Aetna | Carelink Other Commercial Plan | $4,223.00 | ↓ -59% |
| Healthlink | HMO | $4,367.00 | ↓ -57% |
| UnitedHealthCare | St. Louis University Employee | $5,362.00 | ↓ -47% |
| UnitedHealthCare | All Commercial Plans | $5,935.00 | ↓ -42% |
| Aetna | NBD Other Commercial Plan | $6,314.00 | ↓ -38% |
| UnitedHealthCare | Options PPO | $6,757.00 | ↓ -34% |
| Aetna | All Commercial Plans | $7,154.00 | ↓ -30% |
| Aetna | Medicare Managed Care Plan | $11,562.83 | ↑ +13% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $11,678.46 | ↑ +15% |
| UnitedHealthCare | Medicare Managed Care Plan | $11,733.96 | ↑ +15% |
| BCBS | Anthem Medicare Managed Care Plan | $11,736.27 | ↑ +15% |
| Humana | Medicare Managed Care Plan | $11,759.40 | ↑ +15% |
| Aetna | Advantra Medicare Managed Care Plan | $11,967.53 | ↑ +17% |
| Oscar | Exchange | $13,875.39 | ↑ +36% |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/stent plcmnt at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $10,195.35 | $320.12 – $13,875.39 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $10,195.35 | $320.12 – $13,875.39 |
| SSM Health Saint Louis University Hospital | Saint Louis | $25,300.00 | $367.57 – $13,875.39 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $10,195.35 | $320.12 – $5,362.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $10,195.35 | $320.12 – $13,875.39 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $12,826.00 | $2,277.00 – $20,813.09 |
| Mercy Orthopedic Hospital Springfield | Ozark | $15,501.20 | $267.99 – $21,876.07 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $10,195.35 | $320.12 – $13,875.39 |