Circumcise/surg/28 days or < 54160 at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$796.95
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.
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What you pay up front if you don't use insurance.
$1,449.00
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.
$222.46 with Medica vs $4,232.60 with UnitedHealthCare — 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 | $222.46 | ↓ -72% |
| BCBS | Medicare Managed Care Plan | $670.64 | ↓ -16% |
| UnitedHealthCare | Medicare Managed Care Plan | $680.56 | ↓ -15% |
| Humana | Medicare Managed Care Plan | $682.04 | ↓ -14% |
| BCBS | Native Blue HMO | $690.76 | ↓ -13% |
| Oscar | All Commercial Plans | $882.23 | ↑ +11% |
| Ambetter Health | Exchange | $905.36 | ↑ +14% |
| Healthchoice | All Commercial Plans | $1,201.45 | ↑ +51% |
| Community Care | Select HMO | $1,240.68 | ↑ +56% |
| PHCS | Multiplan All Commercial Plans | $1,254.00 | ↑ +57% |
| Kempton | All Commercial Plans | $1,307.75 | ↑ +64% |
| Global Health | All Commercial Plans | $1,435.17 | ↑ +80% |
| Community Care | HMO | $1,676.60 | ↑ +110% |
| Cigna | All Commercial Plans | $2,100.00 | ↑ +164% |
| UnitedHealthCare | All Commercial Plans | $4,232.60 | ↑ +431% |
Visitor-reported prices
Comments
Circumcise/surg/28 days or < 54160 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $586.00 | $594.39 – $594.39 |
| Mercy Hospital Ardmore | Northwest Ardmore | $414.05 | $594.39 – $1,585.40 |
| Mercy Hospital Healdton | Healdton | $380.90 | $594.39 – $594.39 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $222.46 – $2,100.00 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $222.46 – $1,307.75 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $161.83 – $2,539.64 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $161.83 – $181.39 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $161.83 – $1,428.55 |