Treatment inhalation pressurized/nonpressurized acute airway obstruction at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$273.35
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.
$497.00
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.
$11.46 with Medica vs $526.51 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 | $11.46 | ↓ -96% |
| BCBS | Medicare Managed Care Plan | $210.61 | ↓ -23% |
| UnitedHealthCare | Medicare Managed Care Plan | $213.72 | ↓ -22% |
| Humana | Medicare Managed Care Plan | $214.19 | ↓ -22% |
| BCBS | Native Blue HMO | $216.92 | ↓ -21% |
| Oscar | All Commercial Plans | $277.05 | ↑ +1% |
| Ambetter Health | Exchange | $284.32 | ↑ +4% |
| Healthchoice | All Commercial Plans | $355.93 | ↑ +30% |
| Community Care | Select HMO | $389.62 | ↑ +43% |
| Kempton | All Commercial Plans | $410.68 | ↑ +50% |
| Global Health | All Commercial Plans | $450.70 | ↑ +65% |
| Community Care | HMO | $526.51 | ↑ +93% |
Visitor-reported prices
Comments
Treatment inhalation pressurized/nonpressurized acute airway obstruction at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $480.35 | $6.00 – $455.57 |
| Love County Health Center | Marietta | $137.00 | $6.64 – $447.44 |
| Mercy Hospital Ardmore | Northwest Ardmore | $287.95 | $6.64 – $497.88 |
| Mercy Hospital Healdton | Healdton | $89.05 | $6.64 – $447.44 |
| Mercy Hospital Kingfisher | Kingfisher | $128.70 | $6.64 – $447.44 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $344.08 | $11.46 – $450.70 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $341.00 | $11.46 – $410.68 |
| Mercy Hospital Logan County | Guthrie | $137.80 | $6.64 – $447.44 |