Analyze neurostimulator simple w/reprogramming 95971 at SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
$100.10
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.
$182.00
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.
$49.02 with BCBS vs $114.27 with Oscar — 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 | $49.02 | ↓ -51% |
| BCBS | Anthem Blue Preferred HMO/POS | $50.07 | ↓ -50% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $50.07 | ↓ -50% |
| BCBS | Anthem Blue Access PPO | $53.97 | ↓ -46% |
| BCBS | Anthem Medicare Managed Care Plan | $93.32 | ↓ -7% |
| Aetna | Medicare Managed Care Plan | $95.22 | ↓ -5% |
| Centene | Wellcare Medicare Managed Care - PPO | $96.18 | ↓ -4% |
| Humana | Medicare Managed Care Plan | $96.84 | ↓ -3% |
| Aetna | Advantra Medicare Managed Care Plan | $97.13 | ↓ -3% |
| Essence | Medicare Managed Care Plan | $98.08 | ↓ -2% |
| Oscar | Exchange | $114.27 | ↑ +14% |
Visitor-reported prices
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Analyze neurostimulator simple w/reprogramming 95971 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $429.72 | $41.70 – $41.70 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $302.50 | $42.69 – $114.27 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $302.50 | $42.69 – $114.27 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $302.50 | $42.69 – $42.69 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $302.50 | $42.69 – $114.27 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $302.50 | $42.69 – $114.27 |
| Mercy Hospital Carthage | Carthage | $629.20 | $42.47 – $120.51 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,188.85 | $24.55 – $180.16 |