I131 iodide cap, rx at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$30.49
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.
$55.43
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.
$24.07 with BCBS vs $70.36 with Medica — 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 |
|---|---|---|---|
| BCBS | Medicare Managed Care Plan | $24.07 | ↓ -21% |
| UnitedHealthCare | Medicare Managed Care Plan | $24.43 | ↓ -20% |
| Humana | Medicare Managed Care Plan | $24.48 | ↓ -20% |
| BCBS | Native Blue HMO | $24.79 | ↓ -19% |
| Healthchoice | All Commercial Plans | $26.37 | ↓ -14% |
| Oscar | All Commercial Plans | $31.66 | ↑ +4% |
| Ambetter Health | Exchange | $32.49 | ↑ +7% |
| Community Care | Select HMO | $44.53 | ↑ +46% |
| Kempton | All Commercial Plans | $46.94 | ↑ +54% |
| Global Health | All Commercial Plans | $51.51 | ↑ +69% |
| Community Care | HMO | $60.18 | ↑ +97% |
| Medica | Exchange | $70.36 | ↑ +131% |
Visitor-reported prices
Comments
I131 iodide cap, rx at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $70.20 | $20.60 – $58.34 |
| Love County Health Center | Marietta | $117.00 | $20.60 – $20.60 |
| Mercy Hospital Ardmore | Northwest Ardmore | $172.25 | $20.60 – $53.13 |
| Mercy Hospital Healdton | Healdton | $76.05 | $20.60 – $29.85 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $1,059.27 | $24.07 – $70.36 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $30.80 | $24.07 – $70.36 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $187.13 | $40.76 – $40.76 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $187.13 | $43.86 – $43.86 |