Pr egd flexible transoral w/placement percutaneous gastrostomy tube at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$2,025.65
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.
$3,683.00
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.
$302.25 with Medica vs $4,613.87 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 | $302.25 | ↓ -85% |
| PHCS | Multiplan All Commercial Plans | $1,254.00 | ↓ -38% |
| BCBS | Medicare Managed Care Plan | $1,845.55 | ↓ -9% |
| UnitedHealthCare | Medicare Managed Care Plan | $1,872.86 | ↓ -8% |
| Humana | Medicare Managed Care Plan | $1,876.92 | ↓ -7% |
| BCBS | Native Blue HMO | $1,900.91 | ↓ -6% |
| Cigna | All Commercial Plans | $2,100.00 | ↑ +4% |
| Oscar | All Commercial Plans | $2,427.82 | ↑ +20% |
| Ambetter Health | Exchange | $2,491.49 | ↑ +23% |
| UnitedHealthCare | All Commercial Plans | $2,951.70 | ↑ +46% |
| Community Care | Select HMO | $3,414.26 | ↑ +69% |
| Healthchoice | All Commercial Plans | $3,414.58 | ↑ +69% |
| Kempton | All Commercial Plans | $3,598.82 | ↑ +78% |
| Global Health | All Commercial Plans | $3,949.47 | ↑ +95% |
| Community Care | HMO | $4,613.87 | ↑ +128% |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $2,775.12 | $172.35 – $3,992.20 |
| Mercy Hospital Ardmore | Northwest Ardmore | $4,524.53 | $172.35 – $4,362.91 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $2,005.85 | $302.25 – $3,604.28 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $1,105.28 | $228.77 – $473.46 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $1,105.28 | $228.77 – $294.64 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $1,105.28 | $228.77 – $549.21 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $1,105.28 | $228.77 – $542.90 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $1,105.28 | $228.77 – $542.90 |