Diagnostic Mammogram (one breast) at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$418.69
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.
$761.25
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.
$76.91 with BCBS vs $198.79 with Healthchoice — 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 | Medicare Managed Care Plan | $76.91 | ↓ -82% |
| Humana | Medicare Managed Care Plan | $78.22 | ↓ -81% |
| BCBS | Native Blue HMO | $79.22 | ↓ -81% |
| Oscar | All Commercial Plans | $101.18 | ↓ -76% |
| Ambetter Health | Exchange | $103.83 | ↓ -75% |
| Medica | Exchange | $125.50 | ↓ -70% |
| Kempton | All Commercial Plans | $149.97 | ↓ -64% |
| Global Health Network | All Commercial Plans | $164.59 | ↓ -61% |
| Healthchoice | All Commercial Plans | $198.79 | ↓ -53% |
Visitor-reported prices
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Diagnostic Mammogram (one breast) at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $220.00 | $76.91 – $198.79 |
| Mercy Hospital Ardmore | Northwest Ardmore | $280.15 | $72.73 – $259.08 |
| Mercy Hospital Kingfisher | Kingfisher | $236.60 | $72.73 – $226.50 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $159.50 | $76.91 – $220.88 |
| Mercy Hospital Logan County | Guthrie | $236.60 | $72.73 – $226.50 |
| Mercy Hospital Oklahoma City | Oklahoma City | $202.15 | $71.97 – $259.08 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $161.69 | $75.75 – $303.00 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $161.69 | $95.22 – $95.22 |