Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at SSM Health St. Anthony Hospital - Oklahoma City

1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$59.04 with Healthchoice vs $299.22 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 →

Payer
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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
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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
Healthchoice All Commercial Plans $59.04
Medica Exchange $73.91
Cigna All Commercial Plans $77.68
Global Health All Commercial Plans $82.86
BCBS Medicare Managed Care Plan $119.69
UnitedHealthCare Medicare Managed Care Plan $121.46
Humana Medicare Managed Care Plan $121.72
BCBS Native Blue HMO $123.28
Oscar All Commercial Plans $157.45
Ambetter Health Exchange $161.58
Community Care Select HMO $221.42
Kempton All Commercial Plans $233.39
Community Care HMO $299.22

Visitor-reported prices

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Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at other Oklahoma hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Oklahoma City Oklahoma City $139.10 $23.13 – $334.63
Mercy Hospital Ardmore Northwest Ardmore $139.10 $115.47 – $359.82
Mercy Hospital Logan County Guthrie $155.35 $222.50 – $222.50
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa $74.43 $31.94 – $31.94
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville $74.43 $31.94 – $39.27
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata $74.43 $36.65 – $39.27
SSM Health St. Anthony Hospital - Midwest Midwest City not published $59.04 – $233.39
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $64.22 – $233.39

All Oklahoma hospitals for this procedure →