Coronary art/grft angio s&i at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$6,595.05
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.
$11,991.00
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.
$1,039.18 with Medica vs $7,794.98 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 | $1,039.18 | ↓ -84% |
| BCBS | Medicare Managed Care Plan | $3,117.99 | ↓ -53% |
| UnitedHealthCare | Medicare Managed Care Plan | $3,164.14 | ↓ -52% |
| Humana | Medicare Managed Care Plan | $3,171.00 | ↓ -52% |
| BCBS | Native Blue HMO | $3,211.53 | ↓ -51% |
| Oscar | All Commercial Plans | $4,101.72 | ↓ -38% |
| Ambetter Health | Exchange | $4,209.29 | ↓ -36% |
| Community Care | Select HMO | $5,768.28 | ↓ -13% |
| Healthchoice | All Commercial Plans | $5,789.54 | ↓ -12% |
| Kempton | All Commercial Plans | $6,080.08 | ↓ -8% |
| Global Health | All Commercial Plans | $6,672.50 | ↑ +1% |
| UnitedHealthCare | All Commercial Plans | $7,567.45 | ↑ +15% |
| Community Care | HMO | $7,794.98 | ↑ +18% |
Visitor-reported prices
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Coronary art/grft angio s&i at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $11,939.85 | $156.71 – $6,744.70 |
| Love County Health Center | Marietta | $15,044.00 | $842.66 – $842.66 |
| Mercy Hospital Ardmore | Northwest Ardmore | $7,096.05 | $641.67 – $7,370.99 |
| Mercy Hospital Healdton | Healdton | $9,778.60 | $842.66 – $6,624.30 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $7,386.97 | $1,039.18 – $6,672.50 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $7,814.40 | $1,039.18 – $6,111.18 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $4,643.96 | $703.11 – $1,889.73 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $4,643.96 | $703.11 – $2,166.89 |