Mayo factor v at Mercy Hospital Lincoln
1000 E. Cherry Street, Troy, MO · Mercy · · NPI 1962808733
$213.85
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.
$329.00
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.
$7.41 with UNITED HEALTHCARE CONTRACTED [320396] vs $296.10 with HUMANA CONTRACTED [320193] — 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 |
|---|---|---|---|
| UNITED HEALTHCARE CONTRACTED [320396] | HB LINC UHC HMO PPO ALL PAYER | $7.41 | ↓ -97% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB LINC UHC HMO PPO ALL PAYER | $7.41 | ↓ -97% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB LINC UHC CORE NEW 100121 | $7.41 | ↓ -97% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB LINC UHC COMPASS/EXCHANGE | $7.41 | ↓ -97% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB LINC UHC HMO PPO ALL PAYER | $7.41 | ↓ -97% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LINC UHC MCR W/O SEQ | $13.07 | ↓ -94% |
| MEDICAID PENDING [20241] | HB LINC MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | $14.12 | ↓ -93% |
| BCBS MEDICAID CONTRACTED [320046] | HB LINC MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | $14.12 | ↓ -93% |
| MO MEDICAID BH CARVE OUT [320315] | HB LINC MO MEDICAID | $14.12 | ↓ -93% |
| UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB LINC UHC MANAGED MEDICAID | $14.12 | ↓ -93% |
| MEDICAID [20240] | HB LINC MO MEDICAID | $14.12 | ↓ -93% |
| HOME STATE MEDICAID CONTRACTED [320189] | HB LINC HOME STATE PLAN MANAGED MEDICAID | $14.40 | ↓ -93% |
| MEDICAID PENDING [20241] | HB LINC HOME STATE PLAN MANAGED MEDICAID | $14.40 | ↓ -93% |
| TRICARE CONTRACTED [320380] | HB LINC TRICARE - HEALTHNET WEST | $15.61 | ↓ -93% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB LINC ANTHEM BLUE PREFERRED EFF 090118 | $18.06 | ↓ -92% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB LINC ANTHEM PATHWAY/EXCHANGE EFF 011520 | $18.06 | ↓ -92% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB LINC ANTHEM BLUE ACCESS CHOICE | $18.06 | ↓ -92% |
| MC ANTHEM [20455] | HB LINC ANTHEM BLUE ACCESS CHOICE | $18.06 | ↓ -92% |
| MC ANTHEM [20455] | HB LINC ANTHEM BLUE ACCESS | $18.06 | ↓ -92% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB LINC ANTHEM BLUE ACCESS | $18.06 | ↓ -92% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB LINC CIGNA HMO AND PPO | $18.30 | ↓ -91% |
| HEALTHLINK CONTRACTED [320179] | HB LINC DEC EMCAP EBSO | $19.76 | ↓ -91% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB LINC ANTHEM TRADITIONAL EFF 090121 | $20.30 | ↓ -91% |
| NOVASYS CONTRACTED [320285] | HB LINC CENTENE EXCHANGE/AMBETTER EFF 090118 | $22.06 | ↓ -90% |
| AMBETTER CONTRACTED [320452] | HB LINC CENTENE EXCHANGE/AMBETTER EFF 090118 | $22.06 | ↓ -90% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB LINC CENTENE EXCHANGE/AMBETTER EFF 090118 | $22.06 | ↓ -90% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB LINC CENTENE EXCHANGE/AMBETTER EFF 090118 | $22.06 | ↓ -90% |
| AMBETTER [20452] | HB LINC CENTENE EXCHANGE/AMBETTER EFF 090118 | $22.06 | ↓ -90% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB LINC PROVIDER PARTNERS 110% MCR NEW 010121 | $76.99 | ↓ -64% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| CROSS TIMBERS HOSPICE [20098] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| HALO HCR INC HOSPICE [20432] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| KINDFUL HOSPICE [20434] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| MERCY HOSPICE OKC [20252] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| BCBS MEDICARE ADVANTAGE [20047] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB LINC ESSENCE MEDICARE 100% W/SEQ | $77.45 | ↓ -64% |
| GLOBALHEALTH CONTRACTED [320145] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| MEDICARE [20244] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| QUAL CHOICE CONTRACTED [320325] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| ACENTRA HEALTH CONTRACTED [320527] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| HUMANA MEDICARE ADVANTAGE [20194] | HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% | $77.45 | ↓ -64% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB LINC AETNA/COVENTRY MCR W/O SEQ | $78.96 | ↓ -63% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB LINC WELLCARE HARMONY MCR 103% W/SEQ | $79.78 | ↓ -63% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LINC DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $80.57 | ↓ -62% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB LINC CIGNA MANAGED MEDICARE 100% W/SEQ NEW 010122 | $82.58 | ↓ -61% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB LINC CIGNA MANAGED MEDICARE 100% W/SEQ NEW 010122 | $82.58 | ↓ -61% |
| CENTIVO CONTRACTED [320505] | HB LINC CENTIVO 165% MEDICARE NEW 110124 | $119.43 | ↓ -44% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $156.28 | ↓ -27% |
| HOPE TRUST CONTRACTED [320488] | HB LINC HOPE TRUST DEC IP 200% OP 225% W/O SEQ NEW 080125 | $162.86 | ↓ -24% |
| MERCY MANAGED BH MEDICARE CONTRACTED [320499] | HB STLO WASH JEFF LINC SAMC PCMH MERCY MNGD BEHAVIORAL HEALTH MEDICARE | $197.40 | ↓ -8% |
| FIRST HEALTH [20128] | HB PCMH LINC AETNA COVENTRY ALL PRODUCTS | $215.50 | ↑ +1% |
| FIRST HEALTH CONTRACTED [320128] | HB PCMH LINC AETNA COVENTRY ALL PRODUCTS | $215.50 | ↑ +1% |
| AETNA [20008] | HB PCMH LINC AETNA COVENTRY ALL PRODUCTS | $215.50 | ↑ +1% |
| AETNA CONTRACTED [320008] | HB PCMH LINC AETNA COVENTRY ALL PRODUCTS | $215.50 | ↑ +1% |
| MULTIPLAN CONTRACTED [320270] | HB LINC PHCS PRIMARY | $246.75 | ↑ +15% |
| WORKERS COMP [20426] | HB LINC GENERIC WORK COMP CONTRACT | $246.75 | ↑ +15% |
| MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB LINC PHCS PRIMARY | $246.75 | ↑ +15% |
| FIRST HEALTH CONTRACTED [320128] | HB LINC PHCS PRIMARY | $246.75 | ↑ +15% |
| MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN LINC MULTIPLAN COMPLEMENTARY | $246.75 | ↑ +15% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB LINC PHCS PRIMARY | $246.75 | ↑ +15% |
| WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $263.20 | ↑ +23% |
| WORKERS COMP [20426] | HB STLO WC ST LOUIS CARDINALS | $263.20 | ↑ +23% |
| HEALTHLINK CONTRACTED [320179] | HB LINC HEALTHLINK HMO | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN [20251] | HB LINC PCMH SCHAEFER AUTOBODY DEC NEW 030121 | $279.65 | ↑ +31% |
| HEALTHLINK CONTRACTED [320179] | HB LINC PCMH DEC SAPAUGH MOTORS NEW 1.1.25 | $279.65 | ↑ +31% |
| IMAGINE 360 CONTRACTED [320494] | HB LINC DEC ROBINSON CONSTRUCTION NEW 010125 | $279.65 | ↑ +31% |
| EBMS CONTRACTED [320493] | HB LINC PCMH CRADER DISTRIBUTING DEC NEW 090125 | $279.65 | ↑ +31% |
| AITHER HEALTH CONTRACTED [320449] | HB LINC PCMH LACLEDE CHAIN NEW 07.01.25 | $279.65 | ↑ +31% |
| AITHER HEALTH [20449] | HB LINC PCMH SHINE SOLAR DEC NEW 110320 | $279.65 | ↑ +31% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB LINC PCMH WOODARD DEC NEW 040124 | $279.65 | ↑ +31% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB LINC PCMH SHINE SOLAR DEC NEW 110320 | $279.65 | ↑ +31% |
| AUXIANT CONTRACTED [320462] | HB LINC PCMH FCB BANKS DEC | $279.65 | ↑ +31% |
| AITHER HEALTH CONTRACTED [320449] | HB LINC PCMH SCHAEFER AUTOBODY DEC NEW 030121 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN [20251] | HB LINC PCMH HERMANN AREA DISTRICT HOSPITAL | $279.65 | ↑ +31% |
| AUXIANT CONTRACTED [320462] | HB LINC PCMH DEC HYDROMAT | $279.65 | ↑ +31% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB LINC NETWORK AFFILIATION AGREEMENT | $279.65 | ↑ +31% |
| REFLECT HEALTH CONTRACTED [320492] | HB LINC PCMH WW WOOD DEC | $279.65 | ↑ +31% |
| AUXIANT CONTRACTED [320462] | HB LINC PCMH CITY OF JACKSON DEC NEW 010125 | $279.65 | ↑ +31% |
| YUZU HEALTH CONTRACTED [320521] | HB LINC PCMH LEVEL HEALTH DEC | $279.65 | ↑ +31% |
| YUZU HEALTH CONTRACTED [320521] | HB LINC PCMH SCHAEFER AUTOBODY DEC NEW 030121 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN [20251] | HB LINC PCMH CLAYCO DEC | $279.65 | ↑ +31% |
| AUXIANT CONTRACTED [320462] | HB LINC PCMH BUCHHEIT DEC NEW 070122 | $279.65 | ↑ +31% |
| AITHER HEALTH CONTRACTED [320449] | HB LINC PCMH WOODARD DEC NEW 040124 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC DEC TOWN & COUNTRY NEW 7.1.24 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH CITY OF JACKSON DEC NEW 010125 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH CLAYCO DEC | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH DEC BARTEL COMMUNICATION NEW 010125 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH DEC QUICK TRIP | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH DEC SAPAUGH MOTORS NEW 1.1.25 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH EASTER SEALS DEC NEW 010125 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH HERMANN AREA DISTRICT HOSPITAL | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH SCHAEFER AUTOBODY DEC NEW 030121 | $279.65 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB LINC PCMH TALL TREE DEC NEW 040125 | $279.65 | ↑ +31% |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB LINC NETWORK AFFILIATION AGREEMENT | $279.65 | ↑ +31% |
| AITHER HEALTH CONTRACTED [320449] | HB LINC PCMH SHINE SOLAR DEC NEW 110320 | $279.65 | ↑ +31% |
| POINT C CONTRACTED [320238] | HB LINC NETWORK AFFILIATION AGREEMENT | $279.65 | ↑ +31% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB LINC CITY OF CAPE DEC 175% MCR W/O SEQ | $279.65 | ↑ +31% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB LINC PCMH DEC ASI NEW 010124 | $279.65 | ↑ +31% |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB LINC NETWORK AFFILIATION AGREEMENT | $279.65 | ↑ +31% |
| HEALTHLINK CONTRACTED [320179] | HB LINC HEALTHLINK PPO | $292.81 | ↑ +37% |
| HUMANA CONTRACTED [320193] | HB LINC HUMANA CHOICE CARE | $296.10 | ↑ +38% |
Visitor-reported prices
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Mayo factor v at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $166.40 | $8.82 – $34.91 |
| Mercy Hospital Carthage | Carthage | $183.30 | $8.82 – $34.91 |
| Mercy Hospital Southeast | Cape Girardeau | $122.20 | $8.83 – $43.29 |
| Mercy Orthopedic Hospital Springfield | Ozark | $168.35 | $8.82 – $108.51 |
| Mercy Primary Care - Bernie | Bernie | $120.75 | $7.41 – $37.07 |