Repair pm/icd lead sgl at SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
$4,003.67
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.
$7,279.40
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.
$580.62 with Medica vs $7,691.36 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 | $580.62 | ↓ -85% |
| UnitedHealthCare | All Commercial Plans | $3,083.00 | ↓ -23% |
| BCBS | Medicare Managed Care Plan | $3,594.09 | ↓ -10% |
| Humana | Medicare Managed Care Plan | $3,655.19 | ↓ -9% |
| BCBS | Native Blue HMO | $3,701.92 | ↓ -8% |
| Oscar | All Commercial Plans | $4,386.82 | ↑ +10% |
| Ambetter Health | Exchange | $4,852.03 | ↑ +21% |
| Healthchoice | All Commercial Plans | $6,186.81 | ↑ +55% |
| Kempton | All Commercial Plans | $7,008.48 | ↑ +75% |
| Global Health Network | All Commercial Plans | $7,691.36 | ↑ +92% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $3,563.45 | $580.62 – $7,691.36 |
| Mercy Hospital Ardmore | Northwest Ardmore | $5,271.50 | not published |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $4,903.25 | $580.62 – $7,008.48 |
| Mercy Hospital Oklahoma City | Oklahoma City | $2,782.65 | not published |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $2,027.05 | $434.22 – $725.15 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $2,027.05 | $434.22 – $831.50 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $434.22 – $476.51 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $434.22 – $841.17 |