Ercp biliary & pancreas at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$1,374.45
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.
$2,499.00
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.
$103.05 with Medica vs $368.79 with Healthchoice — 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 | $103.05 | ↓ -93% |
| Healthchoice | All Commercial Plans | $368.79 | ↓ -73% |
Visitor-reported prices
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Ercp biliary & pancreas at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $1,086.80 | $214.79 – $621.97 |
| Love County Health Center | Marietta | $1,740.00 | $221.82 – $221.82 |
| Mercy Hospital Ardmore | Northwest Ardmore | $1,588.60 | $214.79 – $430.26 |
| Mercy Hospital Healdton | Healdton | $1,131.00 | $221.82 – $430.26 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $1,217.95 | $103.05 – $368.79 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $421.80 | $56.92 – $97.51 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $421.80 | $56.92 – $56.92 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $421.80 | $56.92 – $96.37 |