Cardiac perf spect sgl/ef/wm rst/strs at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$1,361.80
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.
$2,476.00
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.
$359.20 with Medica vs $3,112.88 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 | $359.20 | ↓ -74% |
| BCBS | Medicare Managed Care Plan | $1,245.15 | ↓ -9% |
| UnitedHealthCare | Medicare Managed Care Plan | $1,263.58 | ↓ -7% |
| Humana | Medicare Managed Care Plan | $1,266.32 | ↓ -7% |
| BCBS | Native Blue HMO | $1,282.51 | ↓ -6% |
| Oscar | All Commercial Plans | $1,638.00 | ↑ +20% |
| Ambetter Health | Exchange | $1,680.96 | ↑ +23% |
| Community Care | Select HMO | $2,303.53 | ↑ +69% |
| Kempton | All Commercial Plans | $2,428.05 | ↑ +78% |
| Healthchoice | All Commercial Plans | $2,610.96 | ↑ +92% |
| Global Health | All Commercial Plans | $2,664.63 | ↑ +96% |
| Community Care | HMO | $3,112.88 | ↑ +129% |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $2,331.55 | $138.07 – $2,693.46 |
| Love County Health Center | Marietta | $2,917.00 | $208.15 – $208.15 |
| Mercy Hospital Ardmore | Northwest Ardmore | $2,576.60 | $208.15 – $2,976.05 |
| Mercy Hospital Healdton | Healdton | $1,896.05 | $208.15 – $2,976.05 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $6,603.99 | $359.20 – $2,664.63 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $1,863.40 | $359.20 – $2,937.33 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $1,379.27 | $287.80 – $629.24 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $1,379.27 | $287.80 – $287.80 |