Ot evaluation moderate complexity patient/family at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$314.05
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.
$571.00
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.
$95.24 with BCBS vs $238.10 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 | $95.24 | ↓ -70% |
| UnitedHealthCare | Medicare Managed Care Plan | $96.65 | ↓ -69% |
| Humana | Medicare Managed Care Plan | $96.86 | ↓ -69% |
| BCBS | Native Blue HMO | $98.10 | ↓ -69% |
| Oscar | All Commercial Plans | $125.29 | ↓ -60% |
| Ambetter Health | Exchange | $128.57 | ↓ -59% |
| Healthchoice | All Commercial Plans | $144.49 | ↓ -54% |
| Medica | Exchange | $154.54 | ↓ -51% |
| Community Care | Select HMO | $176.19 | ↓ -44% |
| Kempton | All Commercial Plans | $185.72 | ↓ -41% |
| Global Health | All Commercial Plans | $203.81 | ↓ -35% |
| Community Care | HMO | $238.10 | ↓ -24% |
Visitor-reported prices
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Ot evaluation moderate complexity patient/family at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $605.80 | $89.12 – $211.28 |
| Love County Health Center | Marietta | $865.00 | $89.56 – $89.56 |
| Mercy Hospital Ardmore | Northwest Ardmore | $464.10 | $89.56 – $211.28 |
| Mercy Hospital Healdton | Healdton | $562.25 | $89.56 – $161.91 |
| Mercy Hospital Kingfisher | Kingfisher | $566.80 | $89.56 – $161.91 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $340.34 | $95.24 – $203.81 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $221.10 | $95.24 – $185.72 |
| Mercy Hospital Logan County | Guthrie | $566.80 | $89.56 – $161.91 |