Shoulder MRI (without contrast) at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$2,035.00
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.
$3,700.00
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.
$208.37 with Medica vs $573.70 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 | $208.37 | ↓ -90% |
| BCBS | Medicare Managed Care Plan | $229.48 | ↓ -89% |
| UnitedHealthCare | Medicare Managed Care Plan | $232.88 | ↓ -89% |
| Humana | Medicare Managed Care Plan | $233.38 | ↓ -89% |
| BCBS | Native Blue HMO | $236.36 | ↓ -88% |
| Oscar | All Commercial Plans | $301.88 | ↓ -85% |
| Ambetter Health | Exchange | $309.80 | ↓ -85% |
| Community Care | Select HMO | $424.54 | ↓ -79% |
| Kempton | All Commercial Plans | $447.49 | ↓ -78% |
| Healthchoice | All Commercial Plans | $483.44 | ↓ -76% |
| Global Health | All Commercial Plans | $491.09 | ↓ -76% |
| Community Care | HMO | $573.70 | ↓ -72% |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $2,993.25 | $120.75 – $897.52 |
| Love County Health Center | Marietta | $5,574.00 | $120.75 – $120.75 |
| Mercy Hospital Ardmore | Northwest Ardmore | $4,181.45 | $120.75 – $965.08 |
| Mercy Hospital Healdton | Healdton | $3,623.10 | $120.75 – $548.48 |
| Mercy Hospital Kingfisher | Kingfisher | $2,250.95 | $120.75 – $548.48 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $2,127.12 | $208.37 – $491.09 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $1,535.16 | $208.37 – $543.87 |
| Mercy Hospital Logan County | Guthrie | $3,249.35 | $120.75 – $1,751.00 |