Repair lip full thkns >one-half vert height/cmplx at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$4,113.06
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.
$7,478.30
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.
$647.64 with Medica vs $3,193.45 with Global Health Network — 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 | $647.64 | ↓ -84% |
| PHCS | Multiplan All Commercial Plans | $1,459.00 | ↓ -65% |
| BCBS | Medicare Managed Care Plan | $1,492.27 | ↓ -64% |
| Humana | Medicare Managed Care Plan | $1,517.63 | ↓ -63% |
| BCBS | Native Blue HMO | $1,537.03 | ↓ -63% |
| UnitedHealthCare | All Commercial Plans | $1,872.00 | ↓ -54% |
| Oscar | All Commercial Plans | $1,963.08 | ↓ -52% |
| Ambetter Health | Exchange | $2,014.56 | ↓ -51% |
| Healthchoice | All Commercial Plans | $2,518.18 | ↓ -39% |
| Cigna | All Commercial Plans | $2,891.00 | ↓ -30% |
| Kempton | All Commercial Plans | $2,909.92 | ↓ -29% |
| Global Health Network | All Commercial Plans | $3,193.45 | ↓ -22% |
Visitor-reported prices
Comments
Repair lip full thkns >one-half vert height/cmplx at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $3,789.50 | $647.64 – $3,193.45 |
| Mercy Hospital Healdton | Healdton | $1,021.15 | $363.40 – $1,319.10 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $2,548.70 | $647.64 – $2,909.92 |
| Mercy Hospital Logan County | Guthrie | $1,096.55 | $363.40 – $1,319.10 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $890.87 | $461.12 – $797.25 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $890.87 | $461.12 – $470.33 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $890.87 | $461.12 – $924.81 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $890.87 | $461.12 – $914.18 |