X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at Ascension St. John Sapulpa (St. John Sapulpa, Inc.)
1004 E Bryan Ave, Sapulpa, OK · Ascension · · NPI 1922076603
$289.25
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.
$781.75
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.
$23.05 with FIRST HEALTH vs $368.01 with BLUE CROSS BLUE SHIELD BLUE ADVANTAGE — 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 |
|---|---|---|---|
| FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $23.05 | ↓ -92% |
| AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $52.99 | ↓ -82% |
| BLUE CROSS BLUE SHIELD CHOICE | 2723_SPOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $343.48 | ↑ +19% |
| BLUE CROSS BLUE SHIELD TRADITIONAL | 2738_SPOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $343.48 | ↑ +19% |
| BLUE CROSS BLUE SHIELD LINCS | 2728_SPOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $343.48 | ↑ +19% |
| BLUE CROSS BLUE SHIELD PREFERRED | 2733_SPOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $343.48 | ↑ +19% |
| BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2722_SPOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $368.01 | ↑ +27% |
Visitor-reported prices
Comments
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $869.00 | $318.03 – $318.03 |
| Mercy Hospital Ardmore | Northwest Ardmore | $1,593.80 | $51.18 – $801.97 |
| Mercy Hospital Healdton | Healdton | $564.85 | $318.03 – $801.97 |
| Mercy Hospital Oklahoma City | Oklahoma City | $758.55 | $74.00 – $752.18 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $289.25 | $23.05 – $1,358.84 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $289.25 | $23.05 – $52.99 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $289.25 | $23.05 – $764.35 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $289.25 | $23.05 – $818.62 |