Aspirate pleura without imaging 32554 at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$802.45
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.
$1,459.00
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.
$134.87 with Medica vs $1,579.00 with Cigna — 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 | $134.87 | ↓ -83% |
| BCBS | Medicare Managed Care Plan | $603.32 | ↓ -25% |
| UnitedHealthCare | Medicare Managed Care Plan | $612.25 | ↓ -24% |
| Humana | Medicare Managed Care Plan | $613.58 | ↓ -24% |
| BCBS | Native Blue HMO | $621.42 | ↓ -23% |
| Oscar | All Commercial Plans | $793.67 | ↓ -1% |
| Ambetter Health | Exchange | $814.48 | ↑ +1% |
| Healthchoice | All Commercial Plans | $1,112.87 | ↑ +39% |
| Community Care | Select HMO | $1,116.14 | ↑ +39% |
| Kempton | All Commercial Plans | $1,176.48 | ↑ +47% |
| Global Health | All Commercial Plans | $1,291.11 | ↑ +61% |
| UnitedHealthCare | All Commercial Plans | $1,361.80 | ↑ +70% |
| Community Care | HMO | $1,508.30 | ↑ +88% |
| Cigna | All Commercial Plans | $1,579.00 | ↑ +97% |
Visitor-reported prices
Comments
Aspirate pleura without imaging 32554 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $1,710.15 | $77.42 – $1,305.08 |
| Mercy Hospital Ardmore | Northwest Ardmore | $662.35 | not published |
| Mercy Hospital Healdton | Healdton | $456.30 | $75.12 – $1,281.78 |
| Mercy Hospital Kingfisher | Kingfisher | $415.35 | $75.12 – $1,281.78 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $678.34 | $134.87 – $1,579.00 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $1,332.65 | $134.87 – $1,176.48 |
| Mercy Hospital Logan County | Guthrie | $415.35 | $75.12 – $1,281.78 |
| Mercy Hospital Watonga | Watonga | $415.35 | $75.12 – $1,281.78 |