SSM Health · Oklahoma City, OK
32
In-network payers
333
Disclosed rate categories
773
Beds
2
Care quality
Ssm Health St. Anthony Hospital - Oklahoma City is a 773-bed voluntary non-profit - church hospital in Oklahoma City, OK, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 333 disclosed rate categories.
CCN (Medicare provider number)
370037
NPI
1366545311
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
773
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Ssm Health St. Anthony Hospital - Oklahoma City 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.
Childbirth · Inpatient
MS-DRG 807
$2,373 - $8,570
from 4 insurers · median $7,165
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
Medicine & Surgery · Inpatient
MS-DRG 470
$7,003 - $26,778
from 4 insurers · median $22,403
326 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$3,189 - $12,018
from 4 insurers · median $9,677
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
MS-DRG 460
$45,393 - $61,853
from 3 insurers · median $49,407
95 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$8,323 - $11,441
from 3 insurers · median $9,284
154 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$2,373 - $8,570
from 4 insurers · median $7,165
CMS lists this service as CPT 59610, 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
Digestive procedures
CPT 49650
$3,359 - $11,441
from 3 insurers · median $8,323
154 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$92 - $305
from 4 insurers · median $200
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$200 - $1,244
from 4 insurers · median $407
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$909 - $8,351
from 4 insurers · median $3,434
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,185 - $13,165
from 3 insurers · median $8,323
61 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58558
$906 - $7,824
from 4 insurers · median $3,038
17 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$358 - $4,121
from 4 insurers · median $1,901
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$8,323 - $12,774
from 3 insurers · median $9,284
154 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$510 - $2,218
from 3 insurers · median $618
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$35,900 - $125,072
from 4 insurers · median $110,187
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$9,433 - $31,586
from 4 insurers · median $26,982
16 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 43239
$974 - $2,440
from 4 insurers · median $1,702
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$974 - $3,552
from 4 insurers · median $2,270
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$23 - $459
from 4 insurers · median $201
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$1,048 - $9,945
from 4 insurers · median $3,272
43 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$1,001 - $5,109
from 4 insurers · median $2,665
16 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Orthopedics and pain
CPT 64721
$899 - $5,643
from 4 insurers · median $2,642
552 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
CT imaging
CPT 70450
$69 - $281
from 4 insurers · median $212
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 207% | 0 | 19 |
| Insurer B* | 24 | 160% | 6 | 15 |
| Insurer C* | 24 | 99% | 1 | 13 |
| Insurer D* | 18 | 92% | 3 | 11 |
How we chose these services: 11 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 4 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 - Oklahoma City.
1000 North Lee Street, Oklahoma City, OK 73102
(405) 272-7000
The nearest hospitals of similar type and size. Their rates are compared with Ssm Health St. Anthony Hospital - Oklahoma City for the same insurers and services above.
Ou Health – University Of Oklahoma Medical Center
▲ Rates typically 49% higher than Ssm Health St. Anthony Hospital - Oklahoma City (21 services)
Integris Baptist Medical Center
▲ Rates typically 53% higher than Ssm Health St. Anthony Hospital - Oklahoma City (21 services)
Hillcrest Medical Center
▲ Rates typically 39% higher than Ssm Health St. Anthony Hospital - Oklahoma City (21 services)
St. John Medical Center
▲ Rates typically 25% higher than Ssm Health St. Anthony Hospital - Oklahoma City (21 services)
Saint Francis Hospital
▲ Rates typically 78% higher than Ssm Health St. Anthony Hospital - Oklahoma City (21 services)
Wesley Medical Center
▲ Rates typically 50% higher than Ssm Health St. Anthony Hospital - Oklahoma City (21 services)
Ssm Health Bone And Joint Hospital At Saint Anthony
Oklahoma Heart Hospital North
Lakeside Womens Hospital
Oklahoma Spine Hospital
About Ssm Health St. Anthony Hospital - Oklahoma City's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ssm Health St. Anthony Hospital - Oklahoma City range from $200 to $1,244 across 4 insurers. UnitedHealthcare's rate is $1,244. The median at nearby comparable hospitals is $682. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ssm Health St. Anthony Hospital - Oklahoma City range from $974 to $3,552 across 4 insurers. Cigna's rate is $2,100. The median at nearby comparable hospitals is $3,729. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ssm Health St. Anthony Hospital - Oklahoma City 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.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ssm Health St. Anthony Hospital - Oklahoma City range from $92 to $305 across 4 insurers. UnitedHealthcare's rate is $149. The median at nearby comparable hospitals is $220. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ssm Health St. Anthony Hospital - Oklahoma City 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 $33,519. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ssm Health St. Anthony Hospital - Oklahoma City has 773 beds. Facility type: Short Term Acute Care Hospital.
Ssm Health St. Anthony Hospital - Oklahoma City is located at 1000 North Lee Street, Oklahoma City, OK 73102. Its main phone number is (405) 272-7000.
Ssm Health St. Anthony Hospital - Oklahoma City's CMS Certification Number (CCN), also called its Medicare provider number, is 370037.
The National Provider Identifier (NPI) on file for Ssm Health St. Anthony Hospital - Oklahoma City is 1366545311.
Ssm Health St. Anthony Hospital - Oklahoma City is affiliated with SSM Health.
Ssm Health St. Anthony Hospital - Oklahoma City lists 32 in-network payers, including Ambetter, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
333 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers