Electrophysiology evaluation at SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
$19,373.20
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.
$35,224.00
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.
$443.56 with BCBS vs $13,104.00 with Aetna — 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 | $443.56 | ↓ -98% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $453.03 | ↓ -98% |
| BCBS | Anthem Blue Preferred HMO/POS | $453.03 | ↓ -98% |
| BCBS | Anthem Blue Access PPO | $488.32 | ↓ -97% |
| Healthlink | HMO | $3,085.00 | ↓ -84% |
| Healthlink | PPO | $4,616.00 | ↓ -76% |
| BCBS | Anthem Medicare Managed Care Plan | $7,656.01 | ↓ -60% |
| Aetna | Medicare Managed Care Plan | $7,812.26 | ↓ -60% |
| Centene | Wellcare Medicare Managed Care - PPO | $7,890.38 | ↓ -59% |
| Humana | Medicare Managed Care Plan | $7,945.06 | ↓ -59% |
| Aetna | Advantra Medicare Managed Care Plan | $7,968.50 | ↓ -59% |
| Essence | Medicare Managed Care Plan | $8,046.62 | ↓ -58% |
| UnitedHealthCare | Employee | $8,353.00 | ↓ -57% |
| Aetna | Carelink All Commercial Plans | $8,484.00 | ↓ -56% |
| Oscar | Exchange | $9,374.71 | ↓ -52% |
| Centene | Ambetter Exchange | $9,640.00 | ↓ -50% |
| UnitedHealthCare | Non-PPO Other Commercial Plan | $10,009.00 | ↓ -48% |
| UnitedHealthCare | Options PPO | $10,904.00 | ↓ -44% |
| Aetna | All Commercial Plans | $13,104.00 | ↓ -32% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $10,593.00 | $377.35 – $7,786.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $8,248.90 | $386.30 – $9,374.71 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $8,248.90 | $386.30 – $9,374.71 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $8,248.90 | $386.30 – $8,427.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $8,248.90 | $386.30 – $9,374.71 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $8,248.90 | $386.30 – $9,374.71 |
| Mercy Hospital Southeast | Cape Girardeau | $9,692.15 | $5,156.09 – $50,122.46 |
| Mercy Orthopedic Hospital Springfield | Ozark | $6,602.05 | $528.20 – $14,780.25 |