Ortho whf rigd 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
$258.71
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.
$470.39
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.
$375.75 with BCBS vs $939.38 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 | $375.75 | ↑ +45% |
| UnitedHealthCare | Medicare Managed Care Plan | $381.31 | ↑ +47% |
| Humana | Medicare Managed Care Plan | $382.14 | ↑ +48% |
| BCBS | Native Blue HMO | $387.02 | ↑ +50% |
| Oscar | All Commercial Plans | $494.30 | ↑ +91% |
| Ambetter Health | Exchange | $507.26 | ↑ +96% |
| Healthchoice | All Commercial Plans | $552.57 | ↑ +114% |
| Medica | Exchange | $590.89 | ↑ +128% |
| Community Care | Select HMO | $695.14 | ↑ +169% |
| Kempton | All Commercial Plans | $732.71 | ↑ +183% |
| Global Health | All Commercial Plans | $804.10 | ↑ +211% |
| Community Care | HMO | $939.38 | ↑ +263% |
Visitor-reported prices
Comments
Ortho whf rigd without jnt cstm w/fit&adj at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $92.95 | $349.82 – $829.39 |
| Mercy Hospital Ardmore | Northwest Ardmore | $65.65 | $657.56 – $657.56 |
| Mercy Hospital Healdton | Healdton | $68.90 | $657.56 – $657.56 |
| Mercy Hospital Tishomingo | Tishomingo | $101.40 | $657.56 – $657.56 |
| Mercy Hospital Watonga | Watonga | $101.40 | $657.56 – $657.56 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $375.75 – $804.10 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $375.75 – $732.71 |