Critical care 30-74 minutes at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$3,338.50
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.
?
What you pay up front if you don't use insurance.
$6,070.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$326.99 with Medica vs $1,986.12 with Community Care — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $326.99 | ↓ -90% |
| BCBS | Medicare Managed Care Plan | $794.45 | ↓ -76% |
| UnitedHealthCare | Medicare Managed Care Plan | $806.21 | ↓ -76% |
| Humana | Medicare Managed Care Plan | $807.96 | ↓ -76% |
| BCBS | Native Blue HMO | $818.28 | ↓ -75% |
| Oscar | All Commercial Plans | $1,045.10 | ↓ -69% |
| Healthchoice | All Commercial Plans | $1,053.26 | ↓ -68% |
| Ambetter Health | Exchange | $1,072.51 | ↓ -68% |
| Community Care | Select HMO | $1,469.73 | ↓ -56% |
| Kempton | All Commercial Plans | $1,549.18 | ↓ -54% |
| Global Health | All Commercial Plans | $1,700.12 | ↓ -49% |
| Community Care | HMO | $1,986.12 | ↓ -41% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $4,576.00 | $750.36 – $1,718.52 |
| Love County Health Center | Marietta | $2,273.00 | $189.36 – $750.36 |
| Mercy Hospital Ardmore | Northwest Ardmore | $2,490.15 | $750.36 – $1,878.09 |
| Mercy Hospital Healdton | Healdton | $1,477.45 | $189.36 – $750.36 |
| Mercy Hospital Kingfisher | Kingfisher | $1,140.10 | $189.36 – $750.36 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $3,226.16 | $326.99 – $1,700.12 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $1,411.30 | $326.99 – $1,549.18 |
| Mercy Hospital Logan County | Guthrie | $1,456.65 | $189.36 – $750.36 |