Upper Endoscopy (EGD, diagnostic) at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$1,253.45
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.
$2,279.00
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.
$185.11 with Medica vs $2,951.70 with UnitedHealthCare — 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 | $185.11 | ↓ -85% |
| BCBS | Medicare Managed Care Plan | $872.31 | ↓ -30% |
| UnitedHealthCare | Medicare Managed Care Plan | $885.22 | ↓ -29% |
| Humana | Medicare Managed Care Plan | $887.14 | ↓ -29% |
| BCBS | Native Blue HMO | $898.48 | ↓ -28% |
| PHCS | Multiplan All Commercial Plans | $991.00 | ↓ -21% |
| Oscar | All Commercial Plans | $1,147.53 | ↓ -8% |
| Ambetter Health | Exchange | $1,177.62 | ↓ -6% |
| Cigna | All Commercial Plans | $1,579.00 | ↑ +26% |
| Community Care | Select HMO | $1,613.78 | ↑ +29% |
| Healthchoice | All Commercial Plans | $1,687.61 | ↑ +35% |
| Kempton | All Commercial Plans | $1,701.01 | ↑ +36% |
| Global Health | All Commercial Plans | $1,866.75 | ↑ +49% |
| Community Care | HMO | $2,180.78 | ↑ +74% |
| UnitedHealthCare | All Commercial Plans | $2,951.70 | ↑ +135% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, diagnostic) at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $2,637.15 | $3.86 – $1,886.94 |
| Mercy Hospital Ardmore | Northwest Ardmore | $2,963.48 | $106.77 – $3,047.00 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $948.77 | $139.96 – $3,567.32 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | not published | $185.11 – $1,872.00 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | not published | $185.11 – $1,781.36 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $139.96 – $169.45 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $139.96 – $2,006.62 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | not published | $139.96 – $2,149.09 |