Consultation pathology during surgery cytological exam initial site at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$735.35
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.
$1,337.00
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.
$24.39 with UnitedHealthCare vs $1,937.20 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 |
|---|---|---|---|
| UnitedHealthCare | All Commercial Plans | $24.39 | ↓ -97% |
| Medica | Exchange | $45.96 | ↓ -94% |
| BCBS | Medicare Managed Care Plan | $774.88 | ↑ +5% |
| UnitedHealthCare | Medicare Managed Care Plan | $786.35 | ↑ +7% |
| Humana | Medicare Managed Care Plan | $788.05 | ↑ +7% |
| BCBS | Native Blue HMO | $798.12 | ↑ +9% |
| Oscar | All Commercial Plans | $1,019.35 | ↑ +39% |
| Ambetter Health | Exchange | $1,046.09 | ↑ +42% |
| Healthchoice | All Commercial Plans | $1,225.35 | ↑ +67% |
| Community Care | Select HMO | $1,433.52 | ↑ +95% |
| Kempton | All Commercial Plans | $1,511.01 | ↑ +105% |
| Global Health | All Commercial Plans | $1,658.24 | ↑ +126% |
| Community Care | HMO | $1,937.20 | ↑ +163% |
Visitor-reported prices
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Consultation pathology during surgery cytological exam initial site at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $77.00 | $80.09 – $80.09 |
| Mercy Hospital Ardmore | Northwest Ardmore | $127.40 | $27.84 – $1,831.83 |
| Mercy Hospital Kingfisher | Kingfisher | $100.10 | $80.09 – $1,440.48 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $402.05 | $39.30 – $1,511.01 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $138.66 | $29.11 – $3,108.20 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $138.66 | $29.11 – $34.25 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $138.66 | $29.11 – $1,748.36 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $138.66 | $29.11 – $1,872.50 |