Contrast x-ray of elbow at SSM Health St. Anthony Hospital - Shawnee
1102 W Macarthur, Shawnee, OK · SSM Health · · NPI 1134123193
$620.95
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.
$1,129.00
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.
$107.30 with Medica vs $803.54 with Healthchoice — 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 | $107.30 | ↓ -83% |
| BCBS | Medicare Managed Care Plan | $335.54 | ↓ -46% |
| UnitedHealthCare | Medicare Managed Care Plan | $340.50 | ↓ -45% |
| Humana | Medicare Managed Care Plan | $341.24 | ↓ -45% |
| BCBS | Native Blue HMO | $345.60 | ↓ -44% |
| UnitedHealthCare | All Commercial Plans | $407.95 | ↓ -34% |
| Oscar | All Commercial Plans | $441.40 | ↓ -29% |
| Ambetter Health | Exchange | $452.97 | ↓ -27% |
| Kempton | All Commercial Plans | $654.30 | ↑ +5% |
| Healthchoice | All Commercial Plans | $803.54 | ↑ +29% |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $458.15 | $107.30 – $718.05 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $3,727.61 | $107.30 – $718.05 |
| Mercy Hospital Oklahoma City | Oklahoma City | $1,045.85 | $62.18 – $752.18 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $517.26 | $33.48 – $1,358.84 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $517.26 | $33.48 – $67.56 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $517.26 | $33.48 – $764.35 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $517.26 | $33.48 – $818.62 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $517.26 | $33.48 – $542.92 |