Leucovorin calcium 100 mg solution for injection (1 mg rounding) at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
not published by hospital
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.
not published by hospital
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.
$4.00 with Healthchoice vs $7.34 with Medica — 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 |
|---|---|---|---|
| Healthchoice | All Commercial Plans | $4.00 | — |
| Cigna | All Commercial Plans | $5.27 | — |
| Global Health Network | All Commercial Plans | $5.62 | — |
| Medica | Exchange | $7.34 | — |
Visitor-reported prices
Comments
Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Ardmore | Northwest Ardmore | $576.47 | $4.16 – $10.17 |
| Mercy Hospital Oklahoma City | Oklahoma City | $517.29 | $4.09 – $9.46 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $115.27 | $9.27 – $9.27 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $115.27 | $7.75 – $7.75 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $115.27 | $6.83 – $9.98 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $115.27 | $6.83 – $7.32 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | $115.27 | $7.31 – $7.31 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | not published | $4.00 – $7.34 |