Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$1,239.15
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.
?
What you pay up front if you don't use insurance.
$2,253.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$130.18 with Medica vs $1,697.24 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 |
|---|---|---|---|
| Medica | Exchange | $130.18 | ↓ -89% |
| BCBS | Medicare Managed Care Plan | $678.90 | ↓ -45% |
| UnitedHealthCare | Medicare Managed Care Plan | $688.94 | ↓ -44% |
| Humana | Medicare Managed Care Plan | $690.44 | ↓ -44% |
| BCBS | Native Blue HMO | $699.26 | ↓ -44% |
| Oscar | All Commercial Plans | $893.09 | ↓ -28% |
| Ambetter Health | Exchange | $916.51 | ↓ -26% |
| Healthchoice | All Commercial Plans | $1,246.54 | ↑ +1% |
| Community Care | Select HMO | $1,255.96 | ↑ +1% |
| Kempton | All Commercial Plans | $1,323.85 | ↑ +7% |
| UnitedHealthCare | All Commercial Plans | $1,361.80 | ↑ +10% |
| Global Health | All Commercial Plans | $1,452.84 | ↑ +17% |
| Cigna | All Commercial Plans | $1,579.00 | ↑ +27% |
| Community Care | HMO | $1,697.24 | ↑ +37% |
Visitor-reported prices
Comments
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $2,848.30 | $9.16 – $1,468.55 |
| Mercy Hospital Ardmore | Northwest Ardmore | $3,102.45 | $72.10 – $3,047.00 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $3,081.76 | $130.18 – $1,579.00 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $1,164.90 | $130.18 – $1,323.85 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $658.74 – $2,634.96 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $658.74 – $1,482.16 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $705.51 – $1,587.40 |