Puncture aspiration abscess/hematoma/bulla/cyst at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$536.69
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.
$975.80
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.
$146.10 with Medica vs $1,496.00 with UnitedHealthCare — 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 | $146.10 | ↓ -73% |
| BCBS | Medicare Managed Care Plan | $390.97 | ↓ -27% |
| Humana | Medicare Managed Care Plan | $397.62 | ↓ -26% |
| BCBS | Native Blue HMO | $402.70 | ↓ -25% |
| Oscar | All Commercial Plans | $514.33 | ↓ -4% |
| Ambetter Health | Exchange | $527.81 | ↓ -2% |
| Healthchoice | All Commercial Plans | $679.20 | ↑ +27% |
| Kempton | All Commercial Plans | $762.40 | ↑ +42% |
| Global Health Network | All Commercial Plans | $836.68 | ↑ +56% |
| UnitedHealthCare | All Commercial Plans | $1,496.00 | ↑ +179% |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $765.05 | $146.10 – $836.68 |
| Mercy Hospital Ardmore | Northwest Ardmore | $445.90 | not published |
| Mercy Hospital Kingfisher | Kingfisher | $227.50 | $84.26 – $830.64 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $343.75 | $146.10 – $762.40 |
| Mercy Hospital Logan County | Guthrie | $268.45 | $84.26 – $830.64 |
| Mercy Hospital Oklahoma City | Oklahoma City | $251.55 | not published |
| Mercy Hospital Tishomingo | Tishomingo | $215.15 | $84.26 – $830.64 |
| Mercy Hospital Watonga | Watonga | $227.50 | $84.26 – $830.64 |