Change cystostomy tube simple at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$1,247.76
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.
$2,268.65
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.
$78.61 with Medica vs $1,579.00 with Cigna — 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 | $78.61 | ↓ -94% |
| BCBS | Medicare Managed Care Plan | $240.30 | ↓ -81% |
| Humana | Medicare Managed Care Plan | $244.38 | ↓ -80% |
| BCBS | Native Blue HMO | $247.51 | ↓ -80% |
| Oscar | All Commercial Plans | $316.11 | ↓ -75% |
| Ambetter Health | Exchange | $324.40 | ↓ -74% |
| Healthchoice | All Commercial Plans | $413.46 | ↓ -67% |
| Kempton | All Commercial Plans | $468.58 | ↓ -62% |
| Global Health Network | All Commercial Plans | $514.23 | ↓ -59% |
| UnitedHealthCare | All Commercial Plans | $1,496.00 | ↑ +20% |
| Cigna | All Commercial Plans | $1,579.00 | ↑ +27% |
Visitor-reported prices
Comments
Change cystostomy tube simple at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $599.50 | $78.61 – $1,579.00 |
| Mercy Hospital Healdton | Healdton | $200.85 | $44.11 – $510.52 |
| Mercy Hospital Kingfisher | Kingfisher | $206.70 | $44.11 – $510.52 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $475.75 | $78.61 – $468.58 |
| Mercy Hospital Logan County | Guthrie | $243.75 | $44.11 – $510.52 |
| Mercy Hospital Oklahoma City | Oklahoma City | $4,600.46 | $4.21 – $4,348.95 |
| Mercy Hospital Tishomingo | Tishomingo | $200.85 | $44.11 – $510.52 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $126.17 | $58.29 – $925.40 |