Prq trluml revsc ch occ ant at SSM Health St. Anthony Hospital - Shawnee
1102 W Macarthur, Shawnee, OK · SSM Health · · NPI 1134123193
$8,793.95
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.
$15,989.00
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.
$985.32 with Medica 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 |
|---|---|---|---|
| Medica | Exchange | $985.32 | ↓ -89% |
| BCBS | Medicare Managed Care Plan | $11,102.85 | ↑ +26% |
| UnitedHealthCare | Medicare Managed Care Plan | $11,267.17 | ↑ +28% |
| Humana | Medicare Managed Care Plan | $11,291.60 | ↑ +28% |
| BCBS | Native Blue HMO | $11,435.94 | ↑ +30% |
| Oscar | All Commercial Plans | $14,605.80 | ↑ +66% |
| Ambetter Health | Exchange | $14,988.85 | ↑ +70% |
| Healthchoice | All Commercial Plans | $21,547.08 | ↑ +145% |
| Kempton | All Commercial Plans | $21,650.56 | ↑ +146% |
Visitor-reported prices
Comments
Prq trluml revsc ch occ ant at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City | $9,364.85 | $985.32 – $23,760.10 |
| Mercy Hospital Ardmore | Northwest Ardmore | $20,873.45 | $611.39 – $26,247.35 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City | $21,004.78 | $985.32 – $23,760.10 |
| Mercy Hospital Oklahoma City | Oklahoma City | $23,065.25 | $320.00 – $24,017.18 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $8,878.24 | $756.77 – $21,347.00 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $8,878.24 | $756.77 – $21,711.00 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $756.77 – $21,711.00 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | not published | $756.77 – $21,711.00 |