Epstein barr viral capsid antigen antibody igm at Ascension St. John Medical Center (St. John Medical Center, Inc.)

1923 S Utica Ave, Tulsa, OK · Ascension · · NPI 1154417368

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$43.38

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$117.25

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$18.14 with COMMUNITY CARE - ST JOHN NETWORK SENIOR - GOVT vs $72.56 with OPTUM HEALTH — 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 →

Payer
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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
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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
COMMUNITY CARE - ST JOHN NETWORK SENIOR - GOVT 2970_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE ST JOHN NEWTORK INPATIENT GOVERNMENT 20251001 $18.14 ↓ -58%
COMMUNITY CARE - ST JOHN NETWORK SENIOR - GOVT 2683_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE ST JOHN NETWORK OUTPATIENT GOVERNMENT 20250101 $18.14 ↓ -58%
CHAMPVA 2969_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE CHAMPVA INPATIENT 20251001 $18.14 ↓ -58%
VA OPTUM 2963_VA OPTUM HEALTH INPATIENT 20251001 $18.14 ↓ -58%
VA OPTUM 2679_VA OPTUM HEALTH OUTPATIENT 20250101 $18.14 ↓ -58%
CHAMPVA 2690_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE CHAMPVA OUTPATIENT 20250101 $18.14 ↓ -58%
VETERANS ADMINISTRATION 2992_VETERANS ADMINISTRATION 20251001 $18.14 ↓ -58%
VA COMMUNITY CARE NETWORK 2964_VETERAN AFFAIRS COMMUNITY CARE NETWORK INPATIENT 20251001 $18.14 ↓ -58%
VA COMMUNITY CARE NETWORK 1218_VETERAN AFFAIRS COMMUNITY CARE NETWORK OUTPATIENT 20191001 $18.14 ↓ -58%
MISC MEDICARE ADVANTAGE 2987_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE NON-CONTRACTED INPATIENT 20251001 $18.14 ↓ -58%
MISC MEDICARE ADVANTAGE 2701_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE NON-CONTRACTED OUTPATIENT 20250101 $18.14 ↓ -58%
LONGEVITY HEALTH PLAN OF OKLAHOMA 2985_BAOK, JPOK, MCOK, OHOK MEDICARE ADVANTAGE LONGEVITY HEALTH PLAN OF OKLAHOMA INPATIENT 20251001 $18.14 ↓ -58%
LONGEVITY HEALTH PLAN OF OKLAHOMA 2697_BAOK, JPOK, MCOK, OHOK MEDICARE ADVANTAGE LONGEVITY HEALTH PLAN OF OKLAHOMA OUTPATIENT 20250101 $18.14 ↓ -58%
LIFE PACE 2984_MEDICARE ADVANTAGE LIFE PACE INPATIENT 20251001 $18.14 ↓ -58%
LIFE PACE 2702_MEDICARE ADVANTAGE LIFE PACE OUTPATIENT 20250101 $18.14 ↓ -58%
COMMUNITYCARE SENIOR 2978_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE INPATIENT GOVERNMENT PROGRAM 20251001 $18.14 ↓ -58%
COMMUNITYCARE SENIOR 2681_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT GOVERNMENT PROGRAM 20250101 $18.14 ↓ -58%
HUMANA MCR 2982_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE HUMANA PPO INPATIENT 20251001 $18.32 ↓ -58%
HUMANA MCR 2700_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101 $18.32 ↓ -58%
UHC CHEROKEE NATION 2990_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CHEROKEE NATION BUSINESSES INPATIENT 20251001 $18.68 ↓ -57%
UHC CHEROKEE NATION 2699_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CHEROKEE NATION BUSINESSES OUTPATIENT 20250101 $18.68 ↓ -57%
UNITED HEALTH CARE MEDICARE 2991_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CARE MEDICARE INPATIENT 20251001 $18.68 ↓ -57%
UNITED HEALTH CARE MEDICARE 2698_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CARE MEDICARE OUTPATIENT 20250101 $18.68 ↓ -57%
FIRST HEALTH 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 $19.02 ↓ -56%
BLUE CROSS BLUE SHIELD MEDICARE 2695_BAOK, JPOK, MCOK, OHOK BLUE CROSS BLUE SHIELD MEDICARE OUTPATIENT 20250101 $19.05 ↓ -56%
BLUE CROSS BLUE SHIELD MEDICARE 2965_BAOK, JPOK, MCOK, OHOK BLUE CROSS BLUE SHIELD MEDICARE INPATIENT 20251001 $19.05 ↓ -56%
COMMUNITYCARE (STANDARD) 711_COMMUNITYCARE STANDARD INPATIENT 20180101 $19.95 ↓ -54%
COMMUNITY CARE (SELECT) 7/1/13 2971_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE IP SELF FUNDED NON ASCENSION ST JOHN EMPLOYEE 20251001 $21.77 ↓ -50%
COMMUNITY CARE (SELECT) 7/1/13 2682_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT SELF FUNDED NON ASCENSION ST JOHN EMPLOYEE 20250101 $21.77 ↓ -50%
CCL&H 2968_BAOK, JPOK, OHOK, MCOK COMMUNITY CARE LIFE AND HEALTH INPATIENT 20251001 $23.58 ↓ -46%
SMARTHEALTH 2988_BAOK, JPOK, MCOK, OHOK SMARTHEALTH INPATIENT 20251001 $25.40 ↓ -41%
SMARTHEALTH 2703_BAOK, JPOK, MCOK, OHOK SMARTHEALTH OUTPATIENT 20250101 $25.40 ↓ -41%
COMMUNITY CARE SMARTHEALTH 2973_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE IP - SELF FUNDED ASCENSION ST JOHN EMPLOYEE 20251001 $27.21 ↓ -37%
COMMUNITYCARE (SELECT) 2975_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE STANDARD - SELECT INPATIENT 20251001 $27.21 ↓ -37%
AETNA WHOLE HEALTH 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 $28.25 ↓ -35%
CONNECT HEALTH BENEFIT 2696_BAOK, JPOK, MCOK, OHOK CONNECT HEALTH BENEFIT OUTPATIENT 20250101 $36.28 ↓ -16%
CONNECT HEALTH BENEFIT 2980_BAOK, JPOK, MCOK, OHOK CONNECT HEALTH BENEFIT MEDICARE INPATIENT 20251001 $36.28 ↓ -16%
EVOLUTIONS 2677_EVOLUTIONS AND RESOURCE ONE ADMINISTRATORS OUTPATIENT 20250101 $36.28 ↓ -16%
EVOLUTIONS 2981_EVOLUTIONS AND RESOURCE ONE ADMINISTRATORS INPATIENT 20251001 $36.28 ↓ -16%
KEMPTON GROUP ADMINISTRATORS 2676_BAOK, JPOK, MCOK, OHOK KEMPTON GROUP ADMINISTRATORS OUTPATIENT 20250101 $40.81 ↓ -6%
KEMPTON GROUP ADMINISTRATORS 2983_BAOK, JPOK, MCOK, OHOK KEMPTON GROUP ADMINISTRATORS INPATIENT 20251001 $40.81 ↓ -6%
COMMUNITYCARE (SELECT) 2684_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE STANDARD - SELECT OUTPATIENT 20250101 $41.72 ↓ -4%
COMMUNITY CARE SMARTHEALTH 2680_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT - SELF FUNDED ASCENSION ST JOHN EMPLOYEE 20250101 $43.54 ↑ +0%
BLUE CROSS BLUE SHIELD TRADITIONAL 2741_MCOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 $50.62 ↑ +17%
BLUE CROSS BLUE SHIELD BLUE ADVANTAGE 2719_MCOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 $50.62 ↑ +17%
BLUE CROSS BLUE SHIELD PREFERRED 2736_MCOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 $50.62 ↑ +17%
BLUE CROSS BLUE SHIELD LINCS 2731_MCOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 $50.62 ↑ +17%
BLUE CROSS BLUE SHIELD CHOICE 2727_MCOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 $50.62 ↑ +17%
OPTUM HEALTH 2678_OPTUM HEALTH OUTPATIENT MCOK 20250101 $72.56 ↑ +67%

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Epstein barr viral capsid antigen antibody igm at other Oklahoma hospitals

Hospital City Cash price Negotiated range
Love County Health Center Marietta $89.00 $16.14 – $22.68
Mercy Hospital Ardmore Northwest Ardmore $79.95 $16.14 – $40.04
Mercy Hospital Healdton Healdton $96.20 $16.14 – $22.68
Mercy Hospital Kingfisher Kingfisher $93.60 $16.14 – $22.68
Mercy Hospital Logan County Guthrie $89.70 $16.14 – $120.73
Mercy Hospital Oklahoma City Oklahoma City $85.15 $14.76 – $40.04
Mercy Hospital Tishomingo Tishomingo $96.20 $16.14 – $22.68
Mercy Hospital Watonga Watonga $93.60 $16.14 – $22.68

All Oklahoma hospitals for this procedure →