Kidney img w/bldflw sgl without rx at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$1,308.45
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.
$2,379.00
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.
$246.62 with Medica vs $1,305.53 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 | $246.62 | ↓ -81% |
| Cigna | All Commercial Plans | $307.00 | ↓ -77% |
| BCBS | Medicare Managed Care Plan | $522.21 | ↓ -60% |
| UnitedHealthCare | Medicare Managed Care Plan | $529.94 | ↓ -59% |
| Humana | Medicare Managed Care Plan | $531.09 | ↓ -59% |
| BCBS | Native Blue HMO | $537.88 | ↓ -59% |
| Oscar | All Commercial Plans | $686.97 | ↓ -47% |
| Ambetter Health | Exchange | $704.99 | ↓ -46% |
| Community Care | Select HMO | $966.09 | ↓ -26% |
| Kempton | All Commercial Plans | $1,018.31 | ↓ -22% |
| Healthchoice | All Commercial Plans | $1,076.54 | ↓ -18% |
| Global Health | All Commercial Plans | $1,117.53 | ↓ -15% |
| Community Care | HMO | $1,305.53 | ↓ -0% |
Visitor-reported prices
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Kidney img w/bldflw sgl without rx at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $1,555.45 | $69.00 – $1,129.62 |
| Mercy Hospital Ardmore | Northwest Ardmore | $1,352.00 | $142.92 – $1,248.14 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $1,386.55 | $246.62 – $1,117.53 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $1,518.00 | $246.62 – $1,211.11 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $782.83 | $60.53 – $2,048.04 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $782.83 | $60.53 – $196.55 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $782.83 | $60.53 – $1,233.83 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $60.53 – $1,152.02 |