Replace/revise brain shunt at SSM Health Cardinal Glennon Children's Hospital
1465 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1508935891
$5,579.86
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.
$10,145.20
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.
$901.56 with BCBS vs $4,813.00 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 | $901.56 | ↓ -84% |
| BCBS | Anthem Blue Preferred HMO/POS | $937.09 | ↓ -83% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $937.09 | ↓ -83% |
| BCBS | Anthem Blue Access PPO | $1,016.19 | ↓ -82% |
| Aetna | Carelink All Commercial Plans | $1,978.00 | ↓ -65% |
| Centene Ambetter | Exchange | $2,009.00 | ↓ -64% |
| Healthlink | Employers Choice All Commercial Plans | $2,776.00 | ↓ -50% |
| Aetna | All Commercial Plans | $2,945.00 | ↓ -47% |
| UnitedHealthCare | St. Louis University Employee Other Commercial Plan | $3,653.00 | ↓ -35% |
| Healthlink | HMO | $3,687.00 | ↓ -34% |
| Oscar | Exchange | $3,886.00 | ↓ -30% |
| Cigna | OAP Other Commercial Plan | $3,935.00 | ↓ -29% |
| UnitedHealthCare | Non-PPO Other Commercial Plan | $4,362.00 | ↓ -22% |
| UnitedHealthCare | Options PPO | $4,813.00 | ↓ -14% |
Visitor-reported prices
Comments
Replace/revise brain shunt at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | $6,363.50 | $1,059.76 – $9,053.72 |
| Mercy Orthopedic Hospital Springfield | Ozark | $23,341.31 | $250.00 – $16,630.11 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $922.95 – $8,939.45 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $922.95 – $8,939.45 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $922.95 – $3,886.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $922.95 – $8,939.45 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $922.95 – $8,939.45 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $1,778.00 – $15,822.03 |