Clsd tx/metatarsal fx without manip 28470 at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$460.35
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.
$837.00
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.
$237.24 with BCBS vs $604.50 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 |
|---|---|---|---|
| BCBS | Medicare Managed Care Plan | $237.24 | ↓ -48% |
| UnitedHealthCare | Medicare Managed Care Plan | $240.75 | ↓ -48% |
| Humana | Medicare Managed Care Plan | $241.27 | ↓ -48% |
| BCBS | Native Blue HMO | $244.35 | ↓ -47% |
| Oscar | All Commercial Plans | $312.09 | ↓ -32% |
| Medica | Exchange | $316.41 | ↓ -31% |
| Ambetter Health | Exchange | $320.27 | ↓ -30% |
| Healthchoice | All Commercial Plans | $431.78 | ↓ -6% |
| Community Care | Select HMO | $438.89 | ↓ -5% |
| Kempton | All Commercial Plans | $462.61 | ↑ +0% |
| Global Health | All Commercial Plans | $507.69 | ↑ +10% |
| Community Care | HMO | $593.09 | ↑ +29% |
| UnitedHealthCare | All Commercial Plans | $604.50 | ↑ +31% |
Visitor-reported prices
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Clsd tx/metatarsal fx without manip 28470 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Healdton | Healdton | $367.90 | $189.66 – $318.99 |
| Mercy Hospital Kingfisher | Kingfisher | $380.25 | $189.66 – $318.99 |
| Mercy Hospital Logan County | Guthrie | $434.85 | $189.66 – $318.99 |
| Mercy Hospital Tishomingo | Tishomingo | $363.35 | $189.66 – $318.99 |
| Mercy Hospital Watonga | Watonga | $380.25 | $189.66 – $318.99 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $267.51 | $196.58 – $912.72 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $247.90 | $196.58 – $219.78 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $247.90 | $196.58 – $513.40 |