Consult comp w/report rfrd material at SSM Health Cardinal Glennon Children's Hospital
1465 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1508935891
$211.75
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.
$385.00
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.
$138.15 with BCBS vs $176.37 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 | $138.15 | ↓ -35% |
| BCBS | Anthem Blue Preferred HMO/POS | $143.60 | ↓ -32% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $143.60 | ↓ -32% |
| UnitedHealthCare | St. Louis University Employee Other Commercial Plan | $149.16 | ↓ -30% |
| UnitedHealthCare | Non-PPO Other Commercial Plan | $149.16 | ↓ -30% |
| UnitedHealthCare | Options PPO | $149.16 | ↓ -30% |
| BCBS | Anthem Blue Access PPO | $155.72 | ↓ -26% |
| Cigna | OAP Other Commercial Plan | $176.37 | ↓ -17% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $149.16 – $269.10 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $59.95 | $134.24 – $307.16 |
| Mercy Hospital Aurora | Aurora | $278.20 | $145.31 – $224.98 |
| Mercy Hospital Lincoln | Troy | $293.15 | $122.95 – $224.98 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $141.43 – $519.54 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $141.43 – $519.54 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $141.43 – $519.54 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $141.43 – $519.54 |