Perc d-e cor revasc t cabg s at SSM Health St. Anthony Hospital - Shawnee
1102 W Macarthur, Shawnee, OK · SSM Health · · NPI 1134123193
$11,464.75
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.
$20,845.00
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.
$4,103.56 with Oscar vs $21,650.56 with Kempton — 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 |
|---|---|---|---|
| Oscar | All Commercial Plans | $4,103.56 | ↓ -64% |
| BCBS | Medicare Managed Care Plan | $11,102.85 | ↓ -3% |
| UnitedHealthCare | Medicare Managed Care Plan | $11,267.17 | ↓ -2% |
| Humana | Medicare Managed Care Plan | $11,291.60 | ↓ -2% |
| BCBS | Native Blue HMO | $11,435.94 | ↓ -0% |
| Medica | Exchange | $11,491.00 | ↑ +0% |
| Ambetter Health | Exchange | $14,988.85 | ↑ +31% |
| Healthchoice | All Commercial Plans | $21,547.08 | ↑ +88% |
| Kempton | All Commercial Plans | $21,650.56 | ↑ +89% |
Visitor-reported prices
Comments
Perc d-e cor revasc t cabg s at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $9,765.80 | $4,386.82 – $23,760.10 |
| Mercy Hospital Ardmore | Northwest Ardmore | $24,226.15 | $11,665.22 – $26,247.35 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $21,004.78 | $4,386.82 – $23,760.10 |
| Mercy Hospital Oklahoma City | Oklahoma City | $19,018.35 | $10,130.02 – $24,017.18 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $12,467.24 | $14,322.87 – $28,560.00 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $12,467.24 | $15,412.38 – $29,049.00 |