Biopsy/removal lymph nodes at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$4,943.95
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.
?
What you pay up front if you don't use insurance.
$8,989.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$670.19 with Medica vs $9,414.36 with Community Care — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $670.19 | ↓ -86% |
| PHCS | Multiplan All Commercial Plans | $1,254.00 | ↓ -75% |
| Cigna | All Commercial Plans | $2,100.00 | ↓ -58% |
| BCBS | Medicare Managed Care Plan | $3,765.75 | ↓ -24% |
| UnitedHealthCare | Medicare Managed Care Plan | $3,821.48 | ↓ -23% |
| Humana | Medicare Managed Care Plan | $3,829.76 | ↓ -23% |
| BCBS | Native Blue HMO | $3,878.72 | ↓ -22% |
| UnitedHealthCare | All Commercial Plans | $4,232.60 | ↓ -14% |
| Oscar | All Commercial Plans | $4,386.82 | ↓ -11% |
| Ambetter Health | Exchange | $5,083.76 | ↑ +3% |
| Healthchoice | All Commercial Plans | $6,892.70 | ↑ +39% |
| Community Care | Select HMO | $6,966.63 | ↑ +41% |
| Kempton | All Commercial Plans | $7,343.20 | ↑ +49% |
| Global Health | All Commercial Plans | $8,058.70 | ↑ +63% |
| Community Care | HMO | $9,414.36 | ↑ +90% |
Visitor-reported prices
Comments
Biopsy/removal lymph nodes at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $19,798.54 | $250.00 – $13,814.58 |
| Mercy Hospital Ardmore | Northwest Ardmore | $20,693.71 | $407.07 – $15,097.36 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $670.19 – $8,058.70 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $670.19 – $7,343.20 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $459.94 – $808.14 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $459.94 – $485.44 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $459.94 – $937.44 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $459.94 – $926.67 |