Bld prd mix at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$103.40
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.
$188.00
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.
$10.00 with Cigna vs $409.64 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 |
|---|---|---|---|
| Cigna | All Commercial Plans | $10.00 | ↓ -90% |
| UnitedHealthCare | All Commercial Plans | $18.39 | ↓ -82% |
| Medica | Exchange | $45.04 | ↓ -56% |
| BCBS | Medicare Managed Care Plan | $163.86 | ↑ +58% |
| UnitedHealthCare | Medicare Managed Care Plan | $166.28 | ↑ +61% |
| Humana | Medicare Managed Care Plan | $166.64 | ↑ +61% |
| BCBS | Native Blue HMO | $168.77 | ↑ +63% |
| Healthchoice | All Commercial Plans | $214.20 | ↑ +107% |
| Oscar | All Commercial Plans | $215.55 | ↑ +108% |
| Ambetter Health | Exchange | $221.21 | ↑ +114% |
| Community Care | Select HMO | $303.13 | ↑ +193% |
| Kempton | All Commercial Plans | $319.52 | ↑ +209% |
| Global Health | All Commercial Plans | $350.65 | ↑ +239% |
| Community Care | HMO | $409.64 | ↑ +296% |
Visitor-reported prices
Comments
Bld prd mix at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $111.80 | $5.00 – $354.45 |
| Love County Health Center | Marietta | $144.00 | $9.37 – $9.37 |
| Mercy Hospital Ardmore | Northwest Ardmore | $115.70 | $9.37 – $387.36 |
| Mercy Hospital Healdton | Healdton | $93.60 | $9.37 – $9.37 |
| Mercy Hospital Kingfisher | Kingfisher | $92.30 | $9.37 – $9.37 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $61.98 | $13.55 – $652.00 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $61.98 | $13.55 – $13.55 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $61.98 | $13.55 – $366.75 |