Biopsy of heart lining at SSM Health Cardinal Glennon Children's Hospital
1465 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1508935891
$7,996.09
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.
$14,538.34
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.
$523.07 with BCBS vs $10,668.00 with UnitedHealthCare — 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 | $523.07 | ↓ -93% |
| BCBS | Anthem Blue Preferred HMO/POS | $543.68 | ↓ -93% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $543.68 | ↓ -93% |
| BCBS | Anthem Blue Access PPO | $589.57 | ↓ -93% |
| Healthlink | Employers Choice All Commercial Plans | $3,868.00 | ↓ -52% |
| Cigna | OAP Other Commercial Plan | $4,510.00 | ↓ -44% |
| Healthlink | HMO | $5,137.00 | ↓ -36% |
| Aetna | Carelink All Commercial Plans | $5,249.00 | ↓ -34% |
| Centene Ambetter | Exchange | $6,976.00 | ↓ -13% |
| UnitedHealthCare | St. Louis University Employee Other Commercial Plan | $7,786.00 | ↓ -3% |
| Aetna | All Commercial Plans | $7,806.00 | ↓ -2% |
| UnitedHealthCare | Non-PPO Other Commercial Plan | $8,299.00 | ↑ +4% |
| UnitedHealthCare | Options PPO | $10,668.00 | ↑ +33% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | $3,685.00 | $614.85 – $8,353.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $2,277.00 | $535.48 – $8,380.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $2,277.00 | $535.48 – $8,380.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $2,277.00 | $535.48 – $8,427.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $2,277.00 | $535.48 – $8,380.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $2,277.00 | $535.48 – $8,380.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $6,839.30 | $222.00 – $5,983.38 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $2,277.00 | $535.48 – $8,380.00 |