CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: SSM Health St Anthony Hospital - Midwest

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,998

about 1.4× the $5,676 Medicare rate · typically $6,378–$10,512

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,233

About the fair price

about $235 over the fair price · 1.5× Medicare

Medicare pays $5,676 Fair price $7,998 This hospital $8,233

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $3,373 Priciest $8,233

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,998 (about 1.4× the $5,676 Medicare rate). SSM Health St Anthony Hospital - Midwest charges insurers about $8,233 — about the fair price. Located in Midwest City, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$6,409 - $7,477	113%
Blue Cross Blue Shieldmajor	$6,409 - $14,995	113%
Cignamajor	$9,902	174%
Humanamajor	$6,518	115%
Ambetter (Centene)	$8,652	152%
Health Net	$8,807	155%
Medica	$8,796	155%
Oscar Health	$8,134	143%
+ 5 smaller / regional plans	$6,409 - $12,497

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm SSM Health St Anthony Hospital - Midwest is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at SSM Health St Anthony Hospital - Midwest

Compare: Digestive disorders treatment (inpatient stay) at other OK hospitals

Mercy Hospital Tishomingo Inc · Tishomingo $3,373
Alliancehealth Madill · Madill $3,430
Mercy Hospital Watonga, Inc · Watonga $4,137
Mercy Hospital Kingfisher, Inc · Kingfisher $4,137
Mercy Hospital Logan County · Guthrie $4,328
Oklahoma Spine Hospital · Oklahoma City $5,165
Weatherford Regional Hospital, Inc of Weatherford · Weatherford $5,245
Oklahoma Surgical Hospital, LLC · Tulsa $5,362

Insurance negotiated median for the same procedure, sorted lowest first.