Myelography via inj w/s&i thoracic at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
$1,285.35
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.
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What you pay up front if you don't use insurance.
$2,337.00
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.
$135.74 with BCBS vs $3,783.00 with Cigna — 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 | $135.74 | ↓ -89% |
| BCBS | Anthem Blue Access Choice PPO | $139.48 | ↓ -89% |
| BCBS | Anthem Blue Preferred HMO/POS | $140.14 | ↓ -89% |
| BCBS | Anthem Blue Access PPO | $151.15 | ↓ -88% |
| Aetna | Medicare Managed Care Plan | $785.19 | ↓ -39% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $793.04 | ↓ -38% |
| UnitedHealthCare | Medicare Managed Care Plan | $796.81 | ↓ -38% |
| BCBS | Anthem Medicare Managed Care Plan | $796.96 | ↓ -38% |
| Humana | Medicare Managed Care Plan | $798.53 | ↓ -38% |
| Aetna | Advantra Medicare Managed Care Plan | $812.67 | ↓ -37% |
| Oscar | Exchange | $942.22 | ↓ -27% |
| Aetna | Carelink Other Commercial Plan | $1,444.00 | ↑ +12% |
| UnitedHealthCare | All Commercial Plans | $1,775.00 | ↑ +38% |
| UnitedHealthCare | St. Louis University Employee | $1,781.00 | ↑ +39% |
| Healthlink | Employers Choice All Commercial Plans | $1,865.00 | ↑ +45% |
| UnitedHealthCare | Options PPO | $2,087.00 | ↑ +62% |
| Aetna | NBD Other Commercial Plan | $2,131.00 | ↑ +66% |
| Ambetter | Exchange | $2,167.00 | ↑ +69% |
| Aetna | All Commercial Plans | $2,414.00 | ↑ +88% |
| Healthlink | HMO | $3,102.00 | ↑ +141% |
| Cigna | OAP Other Commercial Plan | $3,783.00 | ↑ +194% |
Visitor-reported prices
Comments
Myelography via inj w/s&i thoracic at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,285.35 | $135.74 – $3,783.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,285.35 | $135.74 – $3,783.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,742.95 | $155.86 – $2,496.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,285.35 | $135.74 – $3,783.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,285.35 | $135.74 – $3,783.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,453.98 | $780.87 – $2,514.00 |
| Mercy Hospital Southeast | Cape Girardeau | $6,848.24 | $97.00 – $5,037.63 |
| Mercy Orthopedic Hospital Springfield | Ozark | $648.70 | not published |