Biliary endoscopy thru skin at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$3,429.80
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.
$6,236.00
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.
$572.76 with Medica vs $25,558.63 with Community Care — 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 | $572.76 | ↓ -83% |
| PHCS | Multiplan All Commercial Plans | $3,181.00 | ↓ -7% |
| Oscar | All Commercial Plans | $4,386.82 | ↑ +28% |
| Cigna | All Commercial Plans | $7,185.00 | ↑ +109% |
| BCBS | Medicare Managed Care Plan | $10,223.45 | ↑ +198% |
| UnitedHealthCare | Medicare Managed Care Plan | $10,374.76 | ↑ +202% |
| Humana | Medicare Managed Care Plan | $10,397.25 | ↑ +203% |
| BCBS | Native Blue HMO | $10,530.16 | ↑ +207% |
| UnitedHealthCare | All Commercial Plans | $11,495.55 | ↑ +235% |
| Ambetter Health | Exchange | $13,801.66 | ↑ +302% |
| Healthchoice | All Commercial Plans | $18,740.20 | ↑ +446% |
| Community Care | Select HMO | $18,913.39 | ↑ +451% |
| Kempton | All Commercial Plans | $19,935.73 | ↑ +481% |
| Global Health | All Commercial Plans | $21,878.19 | ↑ +538% |
| Community Care | HMO | $25,558.63 | ↑ +645% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $2,666.04 | $476.00 – $795.21 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $2,666.04 | $476.00 – $911.84 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $572.76 – $21,878.19 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $572.76 – $19,935.73 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $476.00 – $547.10 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $476.00 – $922.44 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $476.00 – $911.84 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | not published | $476.00 – $795.21 |