App high cost ss t/a/l >100sq cm 1st 100sq cm at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$5,178.80
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.
$9,416.00
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.
$295.76 with Medica vs $6,589.75 with Healthchoice — 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 | $295.76 | ↓ -94% |
| Cigna | All Commercial Plans | $1,579.00 | ↓ -70% |
| BCBS | Medicare Managed Care Plan | $1,984.40 | ↓ -62% |
| UnitedHealthCare | Medicare Managed Care Plan | $2,013.77 | ↓ -61% |
| Humana | Medicare Managed Care Plan | $2,018.14 | ↓ -61% |
| BCBS | Native Blue HMO | $2,043.93 | ↓ -61% |
| Oscar | All Commercial Plans | $2,610.48 | ↓ -50% |
| Ambetter Health | Exchange | $2,678.94 | ↓ -48% |
| Community Care | Select HMO | $3,671.14 | ↓ -29% |
| Kempton | All Commercial Plans | $3,869.58 | ↓ -25% |
| Global Health | All Commercial Plans | $4,246.62 | ↓ -18% |
| Community Care | HMO | $4,961.00 | ↓ -4% |
| UnitedHealthCare | All Commercial Plans | $5,147.21 | ↓ -1% |
| Healthchoice | All Commercial Plans | $6,589.75 | ↑ +27% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $7,710.30 | not published |
| Mercy Hospital Ardmore | Northwest Ardmore | $2,808.00 | not published |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $5,764.55 | $295.76 – $6,223.65 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $3,661.35 | $295.76 – $6,955.84 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $1,738.54 | $228.19 – $362.58 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $1,738.54 | $228.19 – $415.76 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $1,738.54 | $228.19 – $415.76 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | $1,738.54 | $228.19 – $362.58 |