Biliary endoscopy thru skin at SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
$2,506.90
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.
?
What you pay up front if you don't use insurance.
$4,558.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$521.96 with BCBS vs $10,966.41 with Essence — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $521.96 | ↓ -79% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $533.10 | ↓ -79% |
| BCBS | Anthem Blue Preferred HMO/POS | $533.10 | ↓ -79% |
| BCBS | Anthem Blue Access PPO | $574.63 | ↓ -77% |
| Aetna | Carelink All Commercial Plans | $1,889.00 | ↓ -25% |
| Aetna | All Commercial Plans | $2,918.00 | ↑ +16% |
| Centene | Ambetter Exchange | $3,148.00 | ↑ +26% |
| Oscar | Exchange | $3,886.00 | ↑ +55% |
| Cigna | All Commercial Plans | $4,353.00 | ↑ +74% |
| UnitedHealthCare | Employee | $4,737.00 | ↑ +89% |
| UnitedHealthCare | Non-PPO Other Commercial Plan | $5,674.00 | ↑ +126% |
| UnitedHealthCare | Options PPO | $6,310.00 | ↑ +152% |
| Healthlink | HMO | $6,559.00 | ↑ +162% |
| Healthlink | PPO | $9,343.00 | ↑ +273% |
| BCBS | Anthem Medicare Managed Care Plan | $10,434.06 | ↑ +316% |
| Aetna | Medicare Managed Care Plan | $10,647.00 | ↑ +325% |
| Centene | Wellcare Medicare Managed Care - PPO | $10,753.47 | ↑ +329% |
| Humana | Medicare Managed Care Plan | $10,827.99 | ↑ +332% |
| Aetna | Advantra Medicare Managed Care Plan | $10,859.94 | ↑ +333% |
| Essence | Medicare Managed Care Plan | $10,966.41 | ↑ +337% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $6,974.55 | $444.04 – $11,867.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $5,461.50 | $454.57 – $10,827.99 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $5,461.50 | $454.57 – $10,827.99 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $5,461.50 | $454.57 – $8,775.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $5,461.50 | $454.57 – $10,827.99 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $5,461.50 | $454.57 – $10,827.99 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $5,456.99 | $2,277.00 – $19,164.59 |
| Mercy Orthopedic Hospital Springfield | Ozark | $9,360.00 | not published |