Ghs abscess perianal iandd at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$774.95
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.
$1,409.00
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.
$153.38 with Medica vs $2,236.01 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 | $153.38 | ↓ -80% |
| BCBS | Medicare Managed Care Plan | $894.41 | ↑ +15% |
| UnitedHealthCare | Medicare Managed Care Plan | $907.64 | ↑ +17% |
| Humana | Medicare Managed Care Plan | $909.61 | ↑ +17% |
| BCBS | Native Blue HMO | $921.24 | ↑ +19% |
| PHCS | Multiplan All Commercial Plans | $991.00 | ↑ +28% |
| Oscar | All Commercial Plans | $1,176.59 | ↑ +52% |
| Ambetter Health | Exchange | $1,207.45 | ↑ +56% |
| UnitedHealthCare | All Commercial Plans | $1,361.80 | ↑ +76% |
| Cigna | All Commercial Plans | $1,579.00 | ↑ +104% |
| Healthchoice | All Commercial Plans | $1,641.08 | ↑ +112% |
| Community Care | Select HMO | $1,654.65 | ↑ +114% |
| Kempton | All Commercial Plans | $1,744.09 | ↑ +125% |
| Global Health | All Commercial Plans | $1,914.03 | ↑ +147% |
| Community Care | HMO | $2,236.01 | ↑ +189% |
Visitor-reported prices
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Ghs abscess perianal iandd at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $5,078.70 | $0.33 – $1,934.74 |
| Mercy Hospital Kingfisher | Kingfisher | $389.35 | $96.34 – $201.35 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $983.62 | $153.38 – $1,914.03 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $1,521.30 | $153.38 – $1,744.09 |
| Mercy Hospital Logan County | Guthrie | $458.25 | $96.34 – $201.35 |
| Mercy Hospital Tishomingo | Tishomingo | $399.10 | $96.34 – $201.35 |
| Mercy Hospital Watonga | Watonga | $458.25 | $96.34 – $201.35 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $1,410.90 | $98.31 – $3,468.96 |