Version cephalic external at SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
$2,547.05
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.
$4,631.00
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.
$155.92 with Medica vs $7,783.42 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 | $155.92 | ↓ -94% |
| Cigna | All Commercial Plans | $1,579.00 | ↓ -38% |
| BCBS | Medicare Managed Care Plan | $3,113.37 | ↑ +22% |
| UnitedHealthCare | Medicare Managed Care Plan | $3,159.45 | ↑ +24% |
| Humana | Medicare Managed Care Plan | $3,166.30 | ↑ +24% |
| BCBS | Native Blue HMO | $3,206.77 | ↑ +26% |
| Oscar | All Commercial Plans | $4,095.64 | ↑ +61% |
| Ambetter Health | Exchange | $4,203.05 | ↑ +65% |
| UnitedHealthCare | All Commercial Plans | $4,232.60 | ↑ +66% |
| Healthchoice | All Commercial Plans | $5,723.15 | ↑ +125% |
| Community Care | Select HMO | $5,759.73 | ↑ +126% |
| Kempton | All Commercial Plans | $6,071.07 | ↑ +138% |
| Global Health | All Commercial Plans | $6,662.61 | ↑ +162% |
| Community Care | HMO | $7,783.42 | ↑ +206% |
Visitor-reported prices
Comments
Version cephalic external at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $3,357.25 | $35.00 – $6,734.70 |
| Love County Health Center | Marietta | $2,682.00 | $90.35 – $90.35 |
| Mercy Hospital Ardmore | Northwest Ardmore | $2,854.80 | $89.54 – $7,360.06 |
| Mercy Hospital Healdton | Healdton | $1,743.30 | $90.35 – $6,614.48 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee | $2,154.90 | $155.92 – $6,071.07 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $1,642.06 | $115.95 – $223.08 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $1,642.06 | $115.95 – $220.49 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $1,642.06 | $115.95 – $194.55 |