Ortho ewh rgd without jnt cstm w/fit&adj at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$542.00
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.
$985.46
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.
$787.21 with BCBS vs $1,968.02 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 |
|---|---|---|---|
| BCBS | Medicare Managed Care Plan | $787.21 | ↑ +45% |
| UnitedHealthCare | Medicare Managed Care Plan | $798.86 | ↑ +47% |
| Humana | Medicare Managed Care Plan | $800.59 | ↑ +48% |
| BCBS | Native Blue HMO | $810.83 | ↑ +50% |
| Oscar | All Commercial Plans | $1,035.57 | ↑ +91% |
| Ambetter Health | Exchange | $1,062.73 | ↑ +96% |
| Healthchoice | All Commercial Plans | $1,157.66 | ↑ +114% |
| Medica | Exchange | $1,237.92 | ↑ +128% |
| Community Care | Select HMO | $1,456.34 | ↑ +169% |
| Kempton | All Commercial Plans | $1,535.06 | ↑ +183% |
| Global Health | All Commercial Plans | $1,684.63 | ↑ +211% |
| Community Care | HMO | $1,968.02 | ↑ +263% |
Visitor-reported prices
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Ortho ewh rgd without jnt cstm w/fit&adj at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $787.21 – $1,684.63 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $787.21 – $1,535.06 |