X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at Ascension St. John Medical Center (St. John Medical Center, Inc.)
1923 S Utica Ave, Tulsa, OK · Ascension · · NPI 1154417368
$289.25
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.
$781.75
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.
$23.05 with FIRST HEALTH vs $1,358.84 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 →
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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 |
|---|---|---|---|
| FIRST HEALTH | 2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001 | $23.05 | ↓ -92% |
| AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $52.99 | ↓ -82% |
| LIFE PACE | 2702_MEDICARE ADVANTAGE LIFE PACE OUTPATIENT 20250101 | $339.71 | ↑ +17% |
| CHAMPVA | 2690_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE CHAMPVA OUTPATIENT 20250101 | $339.71 | ↑ +17% |
| CHAMPVA | 2969_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE CHAMPVA INPATIENT 20251001 | $339.71 | ↑ +17% |
| VA COMMUNITY CARE NETWORK | 2964_VETERAN AFFAIRS COMMUNITY CARE NETWORK INPATIENT 20251001 | $339.71 | ↑ +17% |
| COMMUNITYCARE SENIOR | 2681_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT GOVERNMENT PROGRAM 20250101 | $339.71 | ↑ +17% |
| COMMUNITYCARE SENIOR | 2978_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE INPATIENT GOVERNMENT PROGRAM 20251001 | $339.71 | ↑ +17% |
| VA OPTUM | 2963_VA OPTUM HEALTH INPATIENT 20251001 | $339.71 | ↑ +17% |
| VETERANS ADMINISTRATION | 2992_VETERANS ADMINISTRATION 20251001 | $339.71 | ↑ +17% |
| VA OPTUM | 2679_VA OPTUM HEALTH OUTPATIENT 20250101 | $339.71 | ↑ +17% |
| COMMUNITY CARE - ST JOHN NETWORK SENIOR - GOVT | 2683_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE ST JOHN NETWORK OUTPATIENT GOVERNMENT 20250101 | $339.71 | ↑ +17% |
| COMMUNITY CARE - ST JOHN NETWORK SENIOR - GOVT | 2970_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE ST JOHN NEWTORK INPATIENT GOVERNMENT 20251001 | $339.71 | ↑ +17% |
| MISC MEDICARE ADVANTAGE | 2987_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE NON-CONTRACTED INPATIENT 20251001 | $339.71 | ↑ +17% |
| MISC MEDICARE ADVANTAGE | 2701_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE NON-CONTRACTED OUTPATIENT 20250101 | $339.71 | ↑ +17% |
| LONGEVITY HEALTH PLAN OF OKLAHOMA | 2985_BAOK, JPOK, MCOK, OHOK MEDICARE ADVANTAGE LONGEVITY HEALTH PLAN OF OKLAHOMA INPATIENT 20251001 | $339.71 | ↑ +17% |
| LONGEVITY HEALTH PLAN OF OKLAHOMA | 2697_BAOK, JPOK, MCOK, OHOK MEDICARE ADVANTAGE LONGEVITY HEALTH PLAN OF OKLAHOMA OUTPATIENT 20250101 | $339.71 | ↑ +17% |
| LIFE PACE | 2984_MEDICARE ADVANTAGE LIFE PACE INPATIENT 20251001 | $339.71 | ↑ +17% |
| VA COMMUNITY CARE NETWORK | 1218_VETERAN AFFAIRS COMMUNITY CARE NETWORK OUTPATIENT 20191001 | $339.71 | ↑ +17% |
| HUMANA MCR | 2700_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101 | $343.11 | ↑ +19% |
| HUMANA MCR | 2982_MCOK, BAOK, OHOK, JPOK MEDICARE ADVANTAGE HUMANA PPO INPATIENT 20251001 | $343.11 | ↑ +19% |
| BLUE CROSS BLUE SHIELD PREFERRED | 2736_MCOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201 | $343.48 | ↑ +19% |
| BLUE CROSS BLUE SHIELD LINCS | 2731_MCOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201 | $343.48 | ↑ +19% |
| UNITED HEALTH CARE MEDICARE | 2698_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CARE MEDICARE OUTPATIENT 20250101 | $349.90 | ↑ +21% |
| UHC CHEROKEE NATION | 2990_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CHEROKEE NATION BUSINESSES INPATIENT 20251001 | $349.90 | ↑ +21% |
| UHC CHEROKEE NATION | 2699_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CHEROKEE NATION BUSINESSES OUTPATIENT 20250101 | $349.90 | ↑ +21% |
| UNITED HEALTH CARE MEDICARE | 2991_BAOK, JPOK, MCOK, OHOK UNITED HEALTH CARE MEDICARE INPATIENT 20251001 | $349.90 | ↑ +21% |
| BLUE CROSS BLUE SHIELD MEDICARE | 2695_BAOK, JPOK, MCOK, OHOK BLUE CROSS BLUE SHIELD MEDICARE OUTPATIENT 20250101 | $356.70 | ↑ +23% |
| BLUE CROSS BLUE SHIELD MEDICARE | 2965_BAOK, JPOK, MCOK, OHOK BLUE CROSS BLUE SHIELD MEDICARE INPATIENT 20251001 | $356.70 | ↑ +23% |
| BLUE CROSS BLUE SHIELD TRADITIONAL | 2741_MCOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201 | $368.01 | ↑ +27% |
| BLUE CROSS BLUE SHIELD BLUE ADVANTAGE | 2719_MCOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201 | $368.01 | ↑ +27% |
| BLUE CROSS BLUE SHIELD CHOICE | 2727_MCOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201 | $368.01 | ↑ +27% |
| COMMUNITYCARE (STANDARD) | 711_COMMUNITYCARE STANDARD INPATIENT 20180101 | $373.68 | ↑ +29% |
| COMMUNITY CARE (SELECT) 7/1/13 | 2682_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT SELF FUNDED NON ASCENSION ST JOHN EMPLOYEE 20250101 | $407.65 | ↑ +41% |
| COMMUNITY CARE (SELECT) 7/1/13 | 2971_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE IP SELF FUNDED NON ASCENSION ST JOHN EMPLOYEE 20251001 | $407.65 | ↑ +41% |
| CCL&H | 2968_BAOK, JPOK, OHOK, MCOK COMMUNITY CARE LIFE AND HEALTH INPATIENT 20251001 | $441.62 | ↑ +53% |
| SMARTHEALTH | 2988_BAOK, JPOK, MCOK, OHOK SMARTHEALTH INPATIENT 20251001 | $475.59 | ↑ +64% |
| SMARTHEALTH | 2703_BAOK, JPOK, MCOK, OHOK SMARTHEALTH OUTPATIENT 20250101 | $475.59 | ↑ +64% |
| COMMUNITY CARE SMARTHEALTH | 2973_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE IP - SELF FUNDED ASCENSION ST JOHN EMPLOYEE 20251001 | $509.56 | ↑ +76% |
| COMMUNITYCARE (SELECT) | 2975_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE STANDARD - SELECT INPATIENT 20251001 | $509.56 | ↑ +76% |
| EVOLUTIONS | 2677_EVOLUTIONS AND RESOURCE ONE ADMINISTRATORS OUTPATIENT 20250101 | $679.42 | ↑ +135% |
| CONNECT HEALTH BENEFIT | 2696_BAOK, JPOK, MCOK, OHOK CONNECT HEALTH BENEFIT OUTPATIENT 20250101 | $679.42 | ↑ +135% |
| CONNECT HEALTH BENEFIT | 2980_BAOK, JPOK, MCOK, OHOK CONNECT HEALTH BENEFIT MEDICARE INPATIENT 20251001 | $679.42 | ↑ +135% |
| EVOLUTIONS | 2981_EVOLUTIONS AND RESOURCE ONE ADMINISTRATORS INPATIENT 20251001 | $679.42 | ↑ +135% |
| KEMPTON GROUP ADMINISTRATORS | 2983_BAOK, JPOK, MCOK, OHOK KEMPTON GROUP ADMINISTRATORS INPATIENT 20251001 | $764.35 | ↑ +164% |
| KEMPTON GROUP ADMINISTRATORS | 2676_BAOK, JPOK, MCOK, OHOK KEMPTON GROUP ADMINISTRATORS OUTPATIENT 20250101 | $764.35 | ↑ +164% |
| COMMUNITYCARE (SELECT) | 2684_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE STANDARD - SELECT OUTPATIENT 20250101 | $781.33 | ↑ +170% |
| COMMUNITY CARE SMARTHEALTH | 2680_JPOK, BAOK, MCOK, OHOK COMMUNITYCARE OUTPATIENT - SELF FUNDED ASCENSION ST JOHN EMPLOYEE 20250101 | $815.30 | ↑ +182% |
| OPTUM HEALTH | 2678_OPTUM HEALTH OUTPATIENT MCOK 20250101 | $1,358.84 | ↑ +370% |
Visitor-reported prices
Comments
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $869.00 | $318.03 – $318.03 |
| Mercy Hospital Ardmore | Northwest Ardmore | $1,593.80 | $51.18 – $801.97 |
| Mercy Hospital Healdton | Healdton | $564.85 | $318.03 – $801.97 |
| Mercy Hospital Oklahoma City | Oklahoma City | $758.55 | $74.00 – $752.18 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | $289.25 | $23.05 – $52.99 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $289.25 | $23.05 – $764.35 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $289.25 | $23.05 – $818.62 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $289.25 | $23.05 – $421.98 |