Bx thyroid/percutan core needle 60100 at SSM Health St. Anthony Hospital - Shawnee
1102 W Macarthur, Shawnee, OK · SSM Health · · NPI 1134123193
$1,070.30
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.
$1,946.00
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.
$116.73 with Medica vs $1,336.82 with Healthchoice — 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 | $116.73 | ↓ -89% |
| BCBS | Medicare Managed Care Plan | $681.06 | ↓ -36% |
| UnitedHealthCare | Medicare Managed Care Plan | $691.14 | ↓ -35% |
| Humana | Medicare Managed Care Plan | $692.64 | ↓ -35% |
| BCBS | Native Blue HMO | $701.49 | ↓ -34% |
| Oscar | All Commercial Plans | $895.93 | ↓ -16% |
| Ambetter Health | Exchange | $919.43 | ↓ -14% |
| Kempton | All Commercial Plans | $1,328.07 | ↑ +24% |
| Healthchoice | All Commercial Plans | $1,336.82 | ↑ +25% |
Visitor-reported prices
Comments
Bx thyroid/percutan core needle 60100 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $718.85 | $116.73 – $1,579.00 |
| Mercy Hospital Ardmore | Northwest Ardmore | $552.50 | not published |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $1,588.10 | $116.73 – $1,579.00 |
| Mercy Hospital Oklahoma City | Oklahoma City | $742.30 | not published |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $803.18 | $89.52 – $2,677.08 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $803.18 | $89.52 – $98.40 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $803.18 | $89.52 – $1,505.86 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $803.18 | $89.52 – $1,612.78 |