Tomosynthesis breast screen bilateral at SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
$116.05
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.
$211.00
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.
$22.26 with Aetna vs $76.96 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $22.26 | ↓ -81% |
| Aetna | Gold Advantage Medicare Managed Care Plan | $22.48 | ↓ -81% |
| UnitedHealthCare | Medicare Managed Care Plan | $22.59 | ↓ -81% |
| BCBS | Anthem Medicare Managed Care Plan | $22.59 | ↓ -81% |
| Humana | Medicare Managed Care Plan | $22.64 | ↓ -80% |
| Aetna | Advantra Medicare Managed Care Plan | $23.04 | ↓ -80% |
| BCBS | Anthem Pathway Exchange | $25.83 | ↓ -78% |
| BCBS | Anthem Blue Access Choice PPO | $26.54 | ↓ -77% |
| BCBS | Anthem Blue Preferred HMO/POS | $26.66 | ↓ -77% |
| Oscar | Exchange | $26.71 | ↓ -77% |
| BCBS | Anthem Blue Access PPO | $28.76 | ↓ -75% |
| Cigna | OAP Other Commercial Plan | $41.16 | ↓ -65% |
| UnitedHealthCare | Options PPO | $50.94 | ↓ -56% |
| UnitedHealthCare | All Commercial Plans | $52.21 | ↓ -55% |
| UnitedHealthCare | St. Louis University Employee | $52.21 | ↓ -55% |
| Healthlink | HMO | $76.96 | ↓ -34% |
| Healthlink | Employers Choice All Commercial Plans | $76.96 | ↓ -34% |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $116.05 | $22.26 – $76.96 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $116.05 | $22.26 – $76.96 |
| SSM Health Saint Louis University Hospital | Saint Louis | $109.45 | $21.81 – $61.77 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $116.05 | $25.83 – $76.96 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $116.05 | $22.26 – $76.96 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $84.61 | $22.14 – $40.07 |
| Mercy Hospital Aurora | Aurora | $68.90 | $15.67 – $68.36 |
| Mercy Hospital Lincoln | Troy | $105.95 | $49.22 – $68.36 |