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Short Term Acute Care HospitalProprietary

Ssm Health St Anthony Hospital - Midwest

SSM Health · Midwest City, OK

2825 Parklawn Drive, Midwest City, OK 73110(405) 610-8585

2 of 5

CMS star rating

196

Beds

8,361

Inpatient discharges a year

$199.5M

Net patient revenue a year

27

In-network payers

About this hospital

Ssm Health St Anthony Hospital - Midwest is a 196-bed proprietary hospital in Midwest City, OK, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 93 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
370094
NPI
1730128836
Health system
SSM Health
Teaching
No Medicare-funded residents
County
Oklahoma County
Metro area
Oklahoma City, OK MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services Ssm Health St Anthony Hospital - Midwest most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,373 - $8,570

from 4 insurers · median $7,165

Aetna$2,373
Insurer A*$6,087
Insurer B*$8,243
Insurer C*$8,570

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$3,189 - $12,018

from 4 insurers · median $9,677

Aetna$3,189
Insurer A*$7,954
Insurer B*$11,400
Insurer C*$12,018

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$7,003 - $26,778

from 4 insurers · median $22,403

Blue Cross$26,778
Insurer A*$7,003
Insurer B*$19,036
Insurer C*$25,770
Medicare $11,516Nearby hospitals $29,40824% below nearby hospitals

31 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$8,323 - $11,441

from 3 insurers · median $9,284

Blue Cross$11,441
Insurer A*$8,323
Insurer B*$9,284
Medicare $5,519Nearby hospitals $15,04838% below nearby hospitals

61 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Ssm Health St Anthony Hospital - Midwest

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
206%
172
Insurer B*24
196%
019
Insurer C*17
146%
410
Insurer D*24
99%
019

How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ssm Health St Anthony Hospital - Midwest, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansDean Health PlanEmblemHealthFirst HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    2 of 5 stars

    • 150 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.19%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 39 services
    • 404 affiliated clinicians
    See doctors and services
  • Finances

    $199.5M net patient revenue

    • Operating margin on patient care 7.1%
    • $5.3M unreimbursed and uncompensated care
    • $17M net income
    See finances
  • Ownership and leadership

    Owned by SSM Health Care Corporation

    • Private (not for profit)
    • Joe M Hodges, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ssm Health St Anthony Hospital - Midwest in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
73-1495968Midwest Regional Medical Center Professional Fees33Cigna, Allied Benefit Systems, Aspirus Health Plan, BCBS, Centivo and 28 more1093169377 Midwest Regional Medical Center LLC1730128836 Midwest Regional Medical Center LLC1225209695 Christopher Jordan Md Pllcand 2 more
73-0657693(multi-state) SSM Health Care of Oklahoma INC9United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Asuris Northwest Health, Avera Health Plans, BCBS, Harvard Pilgrim Health Care (Point32Health) and 4 more1366545311 Ssm Health Care Of Oklahoma Inc.1700471497 Ssm Health Care Of Oklahoma Inc1033283932 Ssm Health Care Of Oklahoma Incand 46 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2825 Parklawn Drive, Midwest City, OK 73110

(405) 610-8585

Get directions

Frequently asked questions

About Ssm Health St Anthony Hospital - Midwest's rates and hospital price transparency.

How much does a CT scan cost at Ssm Health St Anthony Hospital - Midwest?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ssm Health St Anthony Hospital - Midwest range from $200 to $755 across 4 insurers. UnitedHealthcare's rate is $755. The median at nearby comparable hospitals is $650. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ssm Health St Anthony Hospital - Midwest?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ssm Health St Anthony Hospital - Midwest range from $974 to $3,552 across 4 insurers. Cigna's rate is $2,100. The median at nearby comparable hospitals is $3,774. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ssm Health St Anthony Hospital - Midwest?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ssm Health St Anthony Hospital - Midwest range from $2,373 to $8,570 across 4 insurers. Aetna's rate is $2,373. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ssm Health St Anthony Hospital - Midwest?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ssm Health St Anthony Hospital - Midwest range from $92 to $416 across 4 insurers. UnitedHealthcare's rate is $149. The median at nearby comparable hospitals is $348. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Ssm Health St Anthony Hospital - Midwest?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ssm Health St Anthony Hospital - Midwest range from $7,003 to $26,778 across 4 insurers. Blue Cross Blue Shield's rate is $26,778. The median at nearby comparable hospitals is $29,408. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ssm Health St Anthony Hospital - Midwest's CMS star rating?

Ssm Health St Anthony Hospital - Midwest has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Ssm Health St Anthony Hospital - Midwest a teaching hospital?

CMS reports no Medicare-funded interns or residents at Ssm Health St Anthony Hospital - Midwest for fiscal year 2027.

Does Medicare penalize Ssm Health St Anthony Hospital - Midwest for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ssm Health St Anthony Hospital - Midwest's base inpatient payments by an estimated 1.19% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ssm Health St Anthony Hospital - Midwest?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (208 discharges), psychoses (86 discharges), simple pneumonia and pleurisy with mcc (68 discharges).

What is Ssm Health St Anthony Hospital - Midwest's case mix index?

Ssm Health St Anthony Hospital - Midwest's Medicare case mix index is 1.79 for fiscal year 2027, higher than 61% of hospitals paid under the inpatient prospective payment system.

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CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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