Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at SSM Health St. Joseph Hospital- Wentzville
500 Medical Drive, Wentzville, MO · SSM Health · · NPI 1851833305
$8,189.50
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.
$14,890.00
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.
$245.89 with BCBS vs $13,749.00 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 | $245.89 | ↓ -97% |
| BCBS | Anthem Blue Access Choice PPO | $252.67 | ↓ -97% |
| BCBS | Anthem Blue Preferred HMO/POS | $253.87 | ↓ -97% |
| BCBS | Anthem Blue Access PPO | $273.82 | ↓ -97% |
| Cigna | OAP Other Commercial Plan | $3,071.00 | ↓ -63% |
| Healthlink | Employers Choice All Commercial Plans | $5,327.00 | ↓ -35% |
| Ambetter | Exchange | $7,033.00 | ↓ -14% |
| UnitedHealthCare | St. Louis University Employee | $8,125.00 | ↓ -1% |
| Healthlink | HMO | $8,861.00 | ↑ +8% |
| UnitedHealthCare | Options PPO | $8,969.00 | ↑ +10% |
| UnitedHealthCare | All Commercial Plans | $8,992.00 | ↑ +10% |
| Aetna | Carelink Other Commercial Plan | $9,861.00 | ↑ +20% |
| Aetna | NBD Other Commercial Plan | $12,133.00 | ↑ +48% |
| Aetna | All Commercial Plans | $13,749.00 | ↑ +68% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $8,189.50 | $245.89 – $9,861.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $8,189.50 | $245.89 – $9,861.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $5,995.00 | $282.34 – $9,291.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $8,189.50 | $245.89 – $9,861.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $8,189.50 | $245.89 – $9,861.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $6,152.96 | $1,351.00 – $7,389.00 |
| Mercy Hospital Carthage | Carthage | $1,214.85 | $229.08 – $2,405.42 |
| Mercy Orthopedic Hospital Springfield | Ozark | $2,616.90 | not published |