Ins/rpl ldless pm right vent w img & eval at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$17,458.10
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.
$31,742.00
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.
$713.01 with Medica vs $46,313.28 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 | $713.01 | ↓ -96% |
| Oscar | All Commercial Plans | $4,386.82 | ↓ -75% |
| BCBS | Medicare Managed Care Plan | $18,525.31 | ↑ +6% |
| UnitedHealthCare | Medicare Managed Care Plan | $18,799.49 | ↑ +8% |
| Humana | Medicare Managed Care Plan | $18,840.24 | ↑ +8% |
| BCBS | Native Blue HMO | $19,081.07 | ↑ +9% |
| Ambetter Health | Exchange | $25,009.17 | ↑ +43% |
| Community Care | Select HMO | $34,271.83 | ↑ +96% |
| Healthchoice | All Commercial Plans | $34,328.09 | ↑ +97% |
| Kempton | All Commercial Plans | $36,124.36 | ↑ +107% |
| UnitedHealthCare | All Commercial Plans | $36,311.38 | ↑ +108% |
| Global Health | All Commercial Plans | $39,644.17 | ↑ +127% |
| Community Care | HMO | $46,313.28 | ↑ +165% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Ardmore | Northwest Ardmore | $33,700.42 | $401.31 – $43,794.18 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $13,070.83 | $713.01 – $39,644.17 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $17,028.00 | $713.01 – $36,235.20 |