Rmvl icd gen w/rplc icd gen mlt lead sys at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$19,598.15
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.
$35,633.00
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.
$601.83 with Medica vs $75,472.15 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 | $601.83 | ↓ -97% |
| Oscar | All Commercial Plans | $4,386.82 | ↓ -78% |
| BCBS | Medicare Managed Care Plan | $30,188.86 | ↑ +54% |
| UnitedHealthCare | Medicare Managed Care Plan | $30,635.66 | ↑ +56% |
| Humana | Medicare Managed Care Plan | $30,702.07 | ↑ +57% |
| BCBS | Native Blue HMO | $31,094.53 | ↑ +59% |
| Ambetter Health | Exchange | $40,754.96 | ↑ +108% |
| Community Care | Select HMO | $55,849.39 | ↑ +185% |
| Healthchoice | All Commercial Plans | $57,710.84 | ↑ +194% |
| Kempton | All Commercial Plans | $58,868.28 | ↑ +200% |
| UnitedHealthCare | All Commercial Plans | $63,540.70 | ↑ +224% |
| Global Health | All Commercial Plans | $64,604.16 | ↑ +230% |
| Community Care | HMO | $75,472.15 | ↑ +285% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Ardmore | Northwest Ardmore | $10,407.80 | not published |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $17,877.67 | $601.83 – $64,604.16 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $23,188.00 | $601.83 – $60,917.00 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $6,491.28 | $453.39 – $86,492.00 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $6,491.28 | $453.39 – $87,973.00 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $453.39 – $87,973.00 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $453.39 – $87,973.00 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | not published | $453.39 – $87,973.00 |