Ins/rpl pm gen exist sgl lead at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$6,208.87
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.
$11,288.85
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.
$482.19 with Medica vs $17,032.30 with Global Health Network — 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 | $482.19 | ↓ -92% |
| PHCS | Multiplan All Commercial Plans | $1,459.00 | ↓ -77% |
| Cigna | All Commercial Plans | $2,891.00 | ↓ -53% |
| Oscar | All Commercial Plans | $4,386.82 | ↓ -29% |
| BCBS | Medicare Managed Care Plan | $7,959.02 | ↑ +28% |
| Humana | Medicare Managed Care Plan | $8,094.32 | ↑ +30% |
| BCBS | Native Blue HMO | $8,197.79 | ↑ +32% |
| UnitedHealthCare | All Commercial Plans | $9,166.00 | ↑ +48% |
| Ambetter Health | Exchange | $10,744.68 | ↑ +73% |
| Healthchoice | All Commercial Plans | $14,069.17 | ↑ +127% |
| Kempton | All Commercial Plans | $15,520.09 | ↑ +150% |
| Global Health Network | All Commercial Plans | $17,032.30 | ↑ +174% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $6,926.15 | $482.19 – $17,032.30 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $8,847.85 | $482.19 – $15,724.36 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $3,865.85 | $358.32 – $31,254.00 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $3,865.85 | $358.32 – $31,789.00 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $358.32 – $31,789.00 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $358.32 – $31,789.00 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $358.32 – $31,789.00 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $358.32 – $31,789.00 |