Application of forearm cast 29075 at SSM Health St. Joseph Hospital- Wentzville
500 Medical Drive, Wentzville, MO · SSM Health · · NPI 1851833305
$522.50
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.
$950.00
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.
$66.18 with BCBS vs $4,261.00 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 | $66.18 | ↓ -87% |
| BCBS | Anthem Blue Access Choice PPO | $68.00 | ↓ -87% |
| BCBS | Anthem Blue Preferred HMO/POS | $68.33 | ↓ -87% |
| BCBS | Anthem Blue Access PPO | $73.69 | ↓ -86% |
| Cigna | OAP Other Commercial Plan | $279.00 | ↓ -47% |
| UnitedHealthCare | St. Louis University Employee | $541.00 | ↑ +4% |
| UnitedHealthCare | All Commercial Plans | $719.00 | ↑ +38% |
| UnitedHealthCare | Options PPO | $932.00 | ↑ +78% |
| Ambetter | Exchange | $2,167.00 | ↑ +315% |
| Healthlink | Employers Choice All Commercial Plans | $2,302.00 | ↑ +341% |
| Aetna | Carelink Other Commercial Plan | $2,444.00 | ↑ +368% |
| Aetna | NBD Other Commercial Plan | $3,760.00 | ↑ +620% |
| Healthlink | HMO | $3,829.00 | ↑ +633% |
| Aetna | All Commercial Plans | $4,261.00 | ↑ +716% |
Visitor-reported prices
Comments
Application of forearm cast 29075 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $522.50 | $66.18 – $2,302.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $522.50 | $66.18 – $2,302.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $769.45 | $75.99 – $3,085.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $522.50 | $66.18 – $2,302.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $522.50 | $66.18 – $2,302.00 |
| Mercy Hospital Lincoln | Troy | $217.10 | $226.40 – $348.66 |
| Mercy Hospital Carthage | Carthage | $241.15 | $60.71 – $288.83 |
| Mercy Orthopedic Hospital Springfield | Ozark | $292.50 | $53.89 – $530.01 |