Complx repair enel 2.6-7.5 cm 13152 at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$776.05
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.
?
What you pay up front if you don't use insurance.
$1,411.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$506.78 with Medica vs $2,891.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $506.78 | ↓ -35% |
| BCBS | Medicare Managed Care Plan | $710.82 | ↓ -8% |
| Humana | Medicare Managed Care Plan | $722.90 | ↓ -7% |
| BCBS | Native Blue HMO | $732.14 | ↓ -6% |
| Oscar | All Commercial Plans | $935.08 | ↑ +20% |
| Ambetter Health | Exchange | $959.60 | ↑ +24% |
| Healthchoice | All Commercial Plans | $1,040.62 | ↑ +34% |
| Kempton | All Commercial Plans | $1,386.09 | ↑ +79% |
| PHCS | Multiplan All Commercial Plans | $1,459.00 | ↑ +88% |
| UnitedHealthCare | All Commercial Plans | $1,496.00 | ↑ +93% |
| Global Health Network | All Commercial Plans | $1,521.15 | ↑ +96% |
| Cigna | All Commercial Plans | $2,891.00 | ↑ +273% |
Visitor-reported prices
Comments
Complx repair enel 2.6-7.5 cm 13152 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $1,391.50 | $506.78 – $2,891.00 |
| Love County Health Center | Marietta | $1,604.00 | $261.28 – $430.31 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $1,079.65 | $506.78 – $1,459.00 |
| Mercy Hospital Logan County | Guthrie | $1,006.85 | $145.67 – $439.46 |
| Mercy Hospital Oklahoma City | Oklahoma City | $4,464.11 | $157.53 – $1,537.61 |
| Mercy Hospital Tishomingo | Tishomingo | $1,042.60 | $261.28 – $439.46 |
| Mercy Hospital Watonga | Watonga | $1,006.85 | $261.28 – $439.46 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $395.16 | $388.40 – $2,329.08 |