Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr 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

$9.25

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.

$25.00

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.

$19.78 with BLUE CROSS BLUE SHIELD BLUE ADVANTAGE vs $19.78 with BLUE CROSS BLUE SHIELD TRADITIONAL — 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
BLUE CROSS BLUE SHIELD BLUE ADVANTAGE 2719_MCOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 $19.78 ↑ +114%
BLUE CROSS BLUE SHIELD CHOICE 2727_MCOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 $19.78 ↑ +114%
BLUE CROSS BLUE SHIELD LINCS 2731_MCOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 $19.78 ↑ +114%
BLUE CROSS BLUE SHIELD PREFERRED 2736_MCOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 $19.78 ↑ +114%
BLUE CROSS BLUE SHIELD TRADITIONAL 2741_MCOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 $19.78 ↑ +114%

Visitor-reported prices

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Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr at other Oklahoma hospitals

Hospital City Cash price Negotiated range
Love County Health Center Marietta $11.00 $1.03 – $1.03
Mercy Hospital Ardmore Northwest Ardmore $12.97 $1.03 – $2.70
Mercy Hospital Healdton Healdton $7.15 $1.03 – $1.18
Mercy Hospital Kingfisher Kingfisher $7.15 $1.03 – $1.18
Mercy Hospital Logan County Guthrie $7.15 $1.03 – $13.81
Mercy Hospital Oklahoma City Oklahoma City $9.63 $1.03 – $10.87
Mercy Hospital Watonga Watonga $7.15 $1.03 – $1.18
Mercy Health Love County Rural Health Clinic MARIETTA $24.00 $1.03 – $1.31

All Oklahoma hospitals for this procedure →