SSM Health · Fenton, MO
37
In-network payers
436
Disclosed rate categories
180
Beds
3
Care quality
Ssm Health St. Clare Hospital - Fenton is a 180-bed voluntary non-profit - private hospital in Fenton, MO, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 436 disclosed rate categories.
CCN (Medicare provider number)
260081
NPI
1851496152
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
180
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Ssm Health St. Clare Hospital - Fenton most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,389 - $7,632
from 4 insurers · median $7,082
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,313 - $11,669
from 4 insurers · median $9,896
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$126 - $1,302
from 4 insurers · median $934
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$41,117 - $47,858
from 4 insurers · median $43,402
11 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$104,157 - $116,975
from 4 insurers · median $110,863
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$20,849 - $23,100
from 4 insurers · median $21,757
14 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$314 - $2,506
from 4 insurers · median $1,124
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,389 - $7,632
from 4 insurers · median $7,082
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78815
$1,936 - $6,553
from 3 insurers · median $2,998
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$126 - $513
from 4 insurers · median $177
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,002 - $2,833
from 4 insurers · median $2,461
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,576 - $2,680
from 4 insurers · median $2,218
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,112 - $10,285
from 4 insurers · median $5,474
38 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$3,015 - $5,918
from 4 insurers · median $4,821
Typical for a hospital with this service line
CT imaging
CPT 70450
$126 - $374
from 4 insurers · median $263
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,871 - $3,471
from 4 insurers · median $2,461
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$126 - $1,341
from 4 insurers · median $1,024
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$126 - $954
from 4 insurers · median $520
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$621 - $2,645
from 3 insurers · median $2,101
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,068 - $10,285
from 4 insurers · median $6,093
38 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 20610
$734 - $2,004
from 4 insurers · median $1,818
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,441 - $9,014
from 4 insurers · median $6,877
Typical for a hospital with this service line
CT imaging
CPT 71260
$126 - $852
from 4 insurers · median $548
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$40 - $164
from 4 insurers · median $114
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 235% | 6 | 7 |
| Insurer B* | 24 | 197% | 14 | 7 |
| Insurer C* | 24 | 196% | 19 | 2 |
| Insurer D* | 22 | 130% | 10 | 7 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ssm Health St. Clare Hospital - Fenton.
1015 Bowles Avenue, Fenton, MO 63026
(636) 496-2000
The nearest hospitals of similar type and size. Their rates are compared with Ssm Health St. Clare Hospital - Fenton for the same insurers and services above.
Des Peres Medical Center
▼ Rates typically 39% lower than Ssm Health St. Clare Hospital - Fenton (21 services)
Touchette Regional Hospital
▼ Rates typically 37% lower than Ssm Health St. Clare Hospital - Fenton (21 services)
Barnes Jewish St. Peters Hospital
▲ Rates typically 13% higher than Ssm Health St. Clare Hospital - Fenton (21 services)
Gateway Regional
▼ Rates typically 25% lower than Ssm Health St. Clare Hospital - Fenton (21 services)
Mercy Hospital Jefferson
▼ Rates typically 20% lower than Ssm Health St. Clare Hospital - Fenton (21 services)
Memorial Hospital Belleville
▲ Rates typically 11% higher than Ssm Health St. Clare Hospital - Fenton (21 services)
Ssm Health-St. Marys Audrain
Ssm Health St. Joseph Hospital - Lake Saint Louis
Ssm Health St. Joseph Hospital
Ssm Health St. Mary S Hospital - St. Louis Emergency Room
About Ssm Health St. Clare Hospital - Fenton's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ssm Health St. Clare Hospital - Fenton range from $126 to $1,341 across 4 insurers. UnitedHealthcare's rate is $745. The median at nearby comparable hospitals is $514. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ssm Health St. Clare Hospital - Fenton range from $126 to $1,302 across 4 insurers. Blue Cross Blue Shield's rate is $1,123. The median at nearby comparable hospitals is $547. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ssm Health St. Clare Hospital - Fenton range from $2,002 to $2,833 across 4 insurers. Cigna's rate is $2,680. The median at nearby comparable hospitals is $1,467. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ssm Health St. Clare Hospital - Fenton range from $5,389 to $7,632 across 4 insurers. UnitedHealthcare's rate is $7,632. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ssm Health St. Clare Hospital - Fenton range from $126 to $513 across 4 insurers. Cigna's rate is $158. The median at nearby comparable hospitals is $162. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ssm Health St. Clare Hospital - Fenton range from $20,849 to $23,100 across 4 insurers. Aetna's rate is $20,874. The median at nearby comparable hospitals is $19,274. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ssm Health St. Clare Hospital - Fenton has 180 beds. Facility type: Short Term Acute Care Hospital.
Ssm Health St. Clare Hospital - Fenton is located at 1015 Bowles Avenue, Fenton, MO 63026. Its main phone number is (636) 496-2000.
Ssm Health St. Clare Hospital - Fenton's CMS Certification Number (CCN), also called its Medicare provider number, is 260081.
The National Provider Identifier (NPI) on file for Ssm Health St. Clare Hospital - Fenton is 1851496152.
Ssm Health St. Clare Hospital - Fenton is affiliated with SSM Health.
Ssm Health St. Clare Hospital - Fenton lists 37 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
436 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers