Cath combo lt&rt heart w/inj/s at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$16,037.12
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.
$29,158.40
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.
$1,180.55 with Medica vs $6,672.50 with Global Health Network — 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 |
|---|---|---|---|
| Medica | Exchange | $1,180.55 | ↓ -93% |
| BCBS | Medicare Managed Care Plan | $3,117.99 | ↓ -81% |
| Humana | Medicare Managed Care Plan | $3,171.00 | ↓ -80% |
| BCBS | Native Blue HMO | $3,211.53 | ↓ -80% |
| Oscar | All Commercial Plans | $4,101.72 | ↓ -74% |
| Ambetter Health | Exchange | $4,209.29 | ↓ -74% |
| UnitedHealthCare | All Commercial Plans | $4,491.00 | ↓ -72% |
| Healthchoice | All Commercial Plans | $5,467.90 | ↓ -66% |
| Kempton | All Commercial Plans | $6,080.08 | ↓ -62% |
| Global Health Network | All Commercial Plans | $6,672.50 | ↓ -58% |
Visitor-reported prices
Comments
Cath combo lt&rt heart w/inj/s at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $13,117.00 | $957.20 – $957.20 |
| Mercy Hospital Ardmore | Northwest Ardmore | $11,592.10 | $731.98 – $7,370.99 |
| Mercy Hospital Healdton | Healdton | $8,526.05 | $957.20 – $6,624.30 |
| Mercy Hospital Oklahoma City | Oklahoma City | $10,560.55 | $176.70 – $6,744.70 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $3,531.28 | $757.37 – $2,072.04 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $3,531.28 | $757.37 – $2,375.94 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | not published | $1,180.55 – $6,672.50 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $1,180.55 – $6,111.18 |