Bilicheck at SSM Health Cardinal Glennon Children's Hospital
1465 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1508935891
$13.75
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.
$25.00
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.
$5.02 with UnitedHealthCare vs $10.14 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 |
|---|---|---|---|
| UnitedHealthCare | Non-PPO Other Commercial Plan | $5.02 | ↓ -63% |
| UnitedHealthCare | St. Louis University Employee Other Commercial Plan | $5.02 | ↓ -63% |
| UnitedHealthCare | Options PPO | $5.02 | ↓ -63% |
| BCBS | Anthem Pathway Exchange | $6.97 | ↓ -49% |
| BCBS | Anthem Blue Preferred HMO/POS | $7.24 | ↓ -47% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $7.24 | ↓ -47% |
| BCBS | Anthem Blue Access PPO | $7.85 | ↓ -43% |
| Cigna | OAP Other Commercial Plan | $10.14 | ↓ -26% |
Visitor-reported prices
Comments
Bilicheck at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $4.92 – $10.71 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $138.05 | $4.52 – $9.04 |
| Mercy Hospital Lincoln | Troy | $35.10 | $5.02 – $7.10 |
| Mercy Hospital Carthage | Carthage | $31.85 | $4.47 – $18.59 |
| Mercy Hospital Southeast | Cape Girardeau | $9.10 | $4.52 – $18.03 |
| Mercy Orthopedic Hospital Springfield | Ozark | $70.85 | $3.83 – $29.34 |
| Mercy Primary Care - Bernie | Bernie | $12.75 | $2.21 – $10.54 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $5.02 – $20.67 |