Emg 3 ext w-w/o paraspinal area 95863 at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$976.14
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.
$1,774.80
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.
$123.75 with BCBS vs $273.81 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 | $123.75 | ↓ -87% |
| Humana | Medicare Managed Care Plan | $125.86 | ↓ -87% |
| BCBS | Native Blue HMO | $127.47 | ↓ -87% |
| Medica | Exchange | $158.57 | ↓ -84% |
| Oscar | All Commercial Plans | $162.80 | ↓ -83% |
| Ambetter Health | Exchange | $167.07 | ↓ -83% |
| Kempton | All Commercial Plans | $241.32 | ↓ -75% |
| Global Health Network | All Commercial Plans | $264.83 | ↓ -73% |
| Healthchoice | All Commercial Plans | $273.81 | ↓ -72% |
Visitor-reported prices
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Emg 3 ext w-w/o paraspinal area 95863 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $749.65 | $123.75 – $273.81 |
| Mercy Hospital Oklahoma City | Oklahoma City | $817.70 | $16.00 – $267.70 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $157.25 | $49.59 – $595.32 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $157.25 | $49.59 – $119.64 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $157.25 | $49.59 – $444.26 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $157.25 | $49.59 – $439.15 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | $157.25 | $49.59 – $382.98 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $123.75 – $312.92 |