Explore penetrating wnd/extremity 20103 at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$5,611.10
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.
$10,202.00
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.
$524.40 with Medica vs $3,971.14 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 | $524.40 | ↓ -91% |
| UnitedHealthCare | All Commercial Plans | $1,361.80 | ↓ -76% |
| Cigna | All Commercial Plans | $1,579.00 | ↓ -72% |
| BCBS | Medicare Managed Care Plan | $1,588.46 | ↓ -72% |
| UnitedHealthCare | Medicare Managed Care Plan | $1,611.97 | ↓ -71% |
| Humana | Medicare Managed Care Plan | $1,615.46 | ↓ -71% |
| BCBS | Native Blue HMO | $1,636.11 | ↓ -71% |
| Oscar | All Commercial Plans | $2,089.61 | ↓ -63% |
| Ambetter Health | Exchange | $2,144.42 | ↓ -62% |
| Healthchoice | All Commercial Plans | $2,916.43 | ↓ -48% |
| Community Care | Select HMO | $2,938.64 | ↓ -48% |
| Kempton | All Commercial Plans | $3,097.49 | ↓ -45% |
| Global Health | All Commercial Plans | $3,399.30 | ↓ -39% |
| Community Care | HMO | $3,971.14 | ↓ -29% |
Visitor-reported prices
Comments
Explore penetrating wnd/extremity 20103 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $1,473.00 | $293.19 – $1,442.85 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $2,923.74 | $524.40 – $3,399.30 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $2,376.00 | $524.40 – $3,097.49 |
| Mercy Hospital Logan County | Guthrie | $1,183.65 | $126.25 – $1,442.85 |
| Mercy Hospital Watonga | Watonga | $1,183.65 | $293.19 – $1,442.85 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $1,131.28 | $386.69 – $646.92 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $1,040.35 | $386.69 – $390.98 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $1,040.35 | $386.69 – $750.43 |