Aco med nutria tx/group, ea 30 min 97804aco at SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
not published by hospital
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.
not published by hospital
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.
$11.60 with BCBS vs $20.05 with BCBS — 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 Medicare Managed Care Plan | $11.60 | — |
| Aetna | Medicare Managed Care Plan | $11.84 | — |
| Centene | Wellcare Medicare Managed Care - PPO | $11.96 | — |
| Humana | Medicare Managed Care Plan | $12.04 | — |
| Aetna | Advantra Medicare Managed Care Plan | $12.08 | — |
| Essence | Medicare Managed Care Plan | $12.20 | — |
| Oscar | Exchange | $14.21 | — |
| BCBS | Anthem Pathway Exchange | $18.21 | — |
| BCBS | Anthem Blue Preferred HMO/POS | $18.60 | — |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $18.60 | — |
| BCBS | Anthem Blue Access PPO | $20.05 | — |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $55.06 | $15.50 – $15.50 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $35.20 | $11.84 – $14.21 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $35.20 | $11.84 – $14.21 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $35.20 | $15.86 – $15.86 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $35.20 | $11.84 – $14.21 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $35.20 | $11.84 – $14.21 |
| Mercy Hospital Carthage | Carthage | $25.35 | $12.27 – $14.71 |
| Mercy Hospital Southeast | Cape Girardeau | $26.65 | $11.62 – $42.53 |