Passy muir valve metal trach 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.
$103.59 with BCBS vs $177.46 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 | $103.59 | — |
| BCBS | Anthem Blue Preferred HMO/POS | $105.80 | — |
| BCBS | Anthem Blue Access Choice All Commercial Plans | $105.80 | — |
| BCBS | Anthem Blue Access PPO | $114.04 | — |
| BCBS | Anthem Medicare Managed Care Plan | $144.92 | — |
| Aetna | Medicare Managed Care Plan | $147.88 | — |
| Centene | Wellcare Medicare Managed Care - PPO | $149.36 | — |
| Humana | Medicare Managed Care Plan | $150.39 | — |
| Aetna | Advantra Medicare Managed Care Plan | $150.84 | — |
| Essence | Medicare Managed Care Plan | $152.32 | — |
| Oscar | Exchange | $177.46 | — |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $112.93 | $88.13 – $88.13 |
| Mercy Hospital Southeast | Cape Girardeau | $240.50 | $145.07 – $520.80 |
| Mercy Orthopedic Hospital Springfield | Ozark | $165.75 | $149.51 – $152.46 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | not published | $146.40 – $158.23 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $147.88 – $158.23 |
| CENTERPOINT MEDICAL CENTER | Independence | not published | $146.40 – $158.23 |
| RESEARCH MEDICAL CENTER | Kansas City | not published | $144.99 – $158.23 |