Exchange biliary drg cath at SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
$4,792.70
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.
$8,714.00
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.
$181.83 with BCBS vs $5,698.00 with UnitedHealthCare — 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 | $181.83 | ↓ -96% |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $185.71 | ↓ -96% |
| BCBS | Anthem Blue Preferred HMO/POS | $185.71 | ↓ -96% |
| BCBS | Anthem Blue Access PPO | $200.18 | ↓ -96% |
| Aetna | Carelink All Commercial Plans | $1,642.00 | ↓ -66% |
| Aetna | All Commercial Plans | $2,535.00 | ↓ -47% |
| Healthlink | HMO | $3,085.00 | ↓ -36% |
| Centene | Ambetter Exchange | $3,148.00 | ↓ -34% |
| BCBS | Anthem Medicare Managed Care Plan | $3,514.46 | ↓ -27% |
| Aetna | Medicare Managed Care Plan | $3,586.18 | ↓ -25% |
| Centene | Wellcare Medicare Managed Care - PPO | $3,622.04 | ↓ -24% |
| Humana | Medicare Managed Care Plan | $3,647.15 | ↓ -24% |
| Aetna | Advantra Medicare Managed Care Plan | $3,657.90 | ↓ -24% |
| Essence | Medicare Managed Care Plan | $3,693.77 | ↓ -23% |
| UnitedHealthCare | Employee | $3,764.00 | ↓ -21% |
| Oscar | Exchange | $4,303.42 | ↓ -10% |
| Cigna | All Commercial Plans | $4,353.00 | ↓ -9% |
| UnitedHealthCare | Non-PPO Other Commercial Plan | $4,508.00 | ↓ -6% |
| Healthlink | PPO | $4,616.00 | ↓ -4% |
| UnitedHealthCare | Options PPO | $5,698.00 | ↑ +19% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $3,092.38 | $154.69 – $11,867.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $3,275.25 | $158.36 – $8,775.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $3,275.25 | $158.36 – $8,775.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $3,275.25 | $158.36 – $8,775.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $3,275.25 | $158.36 – $8,775.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $3,275.25 | $158.36 – $8,775.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $3,118.80 | $2,277.00 – $6,455.13 |
| Mercy Hospital Southeast | Cape Girardeau | $9,006.68 | $109.39 – $23,008.51 |