Observation direct referral from physician office for admission at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$738.10
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.
?
What you pay up front if you don't use insurance.
$1,342.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$572.76 with BCBS vs $1,431.91 with Community Care — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $572.76 | ↓ -22% |
| UnitedHealthCare | Medicare Managed Care Plan | $581.24 | ↓ -21% |
| Humana | Medicare Managed Care Plan | $582.50 | ↓ -21% |
| BCBS | Native Blue HMO | $589.95 | ↓ -20% |
| Oscar | All Commercial Plans | $753.47 | ↑ +2% |
| Ambetter Health | Exchange | $773.23 | ↑ +5% |
| Healthchoice | All Commercial Plans | $919.65 | ↑ +25% |
| Community Care | Select HMO | $1,059.61 | ↑ +44% |
| Kempton | All Commercial Plans | $1,116.89 | ↑ +51% |
| Global Health | All Commercial Plans | $1,225.71 | ↑ +66% |
| Community Care | HMO | $1,431.91 | ↑ +94% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $642.20 | $522.58 – $1,238.98 |
| Mercy Hospital Ardmore | Northwest Ardmore | $911.30 | $601.77 – $1,354.02 |
| Mercy Hospital Healdton | Healdton | $444.60 | $1,064.75 – $1,064.75 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $955.30 | $572.76 – $1,225.71 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $539.00 | $572.76 – $1,116.89 |
| Mercy Hospital Logan County | Guthrie | $394.55 | $1,064.75 – $1,064.75 |
| Mercy Hospital Tishomingo | Tishomingo | $444.60 | $1,064.75 – $1,064.75 |
| Mercy Hospital Watonga | Watonga | $394.55 | $1,064.75 – $1,064.75 |