Clsd tx trimall ankle fx w/manip 27818 at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$1,428.35
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.
$2,597.00
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.
$681.60 with Medica vs $3,866.29 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 | $681.60 | ↓ -52% |
| PHCS | Multiplan All Commercial Plans | $991.00 | ↓ -31% |
| UnitedHealthCare | All Commercial Plans | $1,361.80 | ↓ -5% |
| BCBS | Medicare Managed Care Plan | $1,546.52 | ↑ +8% |
| UnitedHealthCare | Medicare Managed Care Plan | $1,569.41 | ↑ +10% |
| Humana | Medicare Managed Care Plan | $1,572.81 | ↑ +10% |
| Cigna | All Commercial Plans | $1,579.00 | ↑ +11% |
| BCBS | Native Blue HMO | $1,592.91 | ↑ +12% |
| Oscar | All Commercial Plans | $2,034.44 | ↑ +42% |
| Ambetter Health | Exchange | $2,087.80 | ↑ +46% |
| Community Care | Select HMO | $2,861.06 | ↑ +100% |
| Healthchoice | All Commercial Plans | $2,880.74 | ↑ +102% |
| Kempton | All Commercial Plans | $3,015.71 | ↑ +111% |
| Global Health | All Commercial Plans | $3,309.55 | ↑ +132% |
| Community Care | HMO | $3,866.29 | ↑ +171% |
Visitor-reported prices
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Clsd tx trimall ankle fx w/manip 27818 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Kingfisher | Kingfisher | $882.70 | $434.11 – $1,425.19 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $1,726.01 | $681.60 – $3,309.55 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $2,965.60 | $681.60 – $3,040.78 |
| Mercy Hospital Logan County | Guthrie | $1,026.35 | $296.50 – $1,425.19 |
| Mercy Hospital Tishomingo | Tishomingo | $1,027.00 | $434.11 – $1,425.19 |
| Mercy Hospital Watonga | Watonga | $1,026.35 | $434.11 – $1,425.19 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $832.32 | $468.59 – $806.10 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $832.32 | $468.59 – $472.47 |