Intro cath dialysis circuit w/pta at SSM Health St. Anthony Hospital - Shawnee
1102 W Macarthur, Shawnee, OK · SSM Health · · NPI 1134123193
$12,025.75
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.
$21,865.00
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.
$360.25 with Medica vs $10,832.89 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 | $360.25 | ↓ -97% |
| BCBS | Medicare Managed Care Plan | $5,473.97 | ↓ -54% |
| UnitedHealthCare | Medicare Managed Care Plan | $5,554.99 | ↓ -54% |
| Humana | Medicare Managed Care Plan | $5,567.03 | ↓ -54% |
| BCBS | Native Blue HMO | $5,638.19 | ↓ -53% |
| Oscar | All Commercial Plans | $7,201.01 | ↓ -40% |
| Ambetter Health | Exchange | $7,389.87 | ↓ -39% |
| Kempton | All Commercial Plans | $10,674.25 | ↓ -11% |
| Healthchoice | All Commercial Plans | $10,832.89 | ↓ -10% |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/pta at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $11,081.95 | $360.25 – $11,714.30 |
| Mercy Hospital Ardmore | Northwest Ardmore | $8,373.30 | not published |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $5,769.88 | $360.25 – $11,714.30 |
| Mercy Hospital Oklahoma City | Oklahoma City | $9,041.61 | $9.16 – $11,841.05 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $7,292.70 | $246.16 – $424.46 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $7,292.70 | $246.16 – $424.45 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $246.16 – $246.16 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $246.16 – $424.45 |