Insertion subcutaneous cardiac rhythm monitor at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$4,364.25
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.
$7,935.00
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.
$130.66 with Medica vs $19,897.55 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 | $130.66 | ↓ -97% |
| Oscar | All Commercial Plans | $4,386.82 | ↑ +1% |
| BCBS | Medicare Managed Care Plan | $7,959.02 | ↑ +82% |
| UnitedHealthCare | Medicare Managed Care Plan | $8,076.81 | ↑ +85% |
| Humana | Medicare Managed Care Plan | $8,094.32 | ↑ +85% |
| BCBS | Native Blue HMO | $8,197.79 | ↑ +88% |
| Ambetter Health | Exchange | $10,744.68 | ↑ +146% |
| Community Care | Select HMO | $14,724.19 | ↑ +237% |
| Healthchoice | All Commercial Plans | $14,896.76 | ↑ +241% |
| Kempton | All Commercial Plans | $15,520.09 | ↑ +256% |
| Global Health | All Commercial Plans | $17,032.30 | ↑ +290% |
| UnitedHealthCare | All Commercial Plans | $19,664.12 | ↑ +351% |
| Community Care | HMO | $19,897.55 | ↑ +356% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $17,553.25 | not published |
| Mercy Hospital Ardmore | Northwest Ardmore | $22,768.78 | $72.78 – $18,815.27 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $7,825.02 | $130.66 – $17,032.30 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $13,017.40 | $130.66 – $15,724.36 |