Ghs intermed repair 20.1 - 30.0 cm-12036 at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$774.18
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.
$1,407.60
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.
$426.98 with Medica vs $2,100.00 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 | $426.98 | ↓ -45% |
| BCBS | Medicare Managed Care Plan | $710.82 | ↓ -8% |
| Humana | Medicare Managed Care Plan | $722.90 | ↓ -7% |
| BCBS | Native Blue HMO | $732.14 | ↓ -5% |
| Oscar | All Commercial Plans | $935.08 | ↑ +21% |
| Ambetter Health | Exchange | $959.60 | ↑ +24% |
| Healthchoice | All Commercial Plans | $1,040.62 | ↑ +34% |
| PHCS | Multiplan All Commercial Plans | $1,254.00 | ↑ +62% |
| Kempton | All Commercial Plans | $1,386.09 | ↑ +79% |
| UnitedHealthCare | All Commercial Plans | $1,496.00 | ↑ +93% |
| Global Health Network | All Commercial Plans | $1,521.15 | ↑ +96% |
| Cigna | All Commercial Plans | $2,100.00 | ↑ +171% |
Visitor-reported prices
Comments
Ghs intermed repair 20.1 - 30.0 cm-12036 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $1,394.80 | $426.98 – $2,100.00 |
| Love County Health Center | Marietta | $1,173.00 | $248.98 – $374.63 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $684.20 | $426.98 – $1,386.09 |
| Mercy Hospital Watonga | Watonga | $919.75 | $248.98 – $418.77 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $368.61 | $299.39 – $2,329.08 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $368.61 | $299.39 – $309.39 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $368.61 | $299.39 – $1,310.11 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $368.61 | $299.39 – $1,403.12 |