CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: SSM Health St Anthony Hospital - Midwest

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 1.0× the $95 Medicare rate · typically $57–$332
modeled estimate · not a bill or quote
What this hospital charges insurers
$114
Above the fair price
about $19 over the fair price · 1.2× Medicare
Medicare pays $95 Fair price $95 This hospital $114 Cash price $438 Hospital's list price $796

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 $44 Priciest $114

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $95 (about 1.0× the $95 Medicare rate). SSM Health St Anthony Hospital - Midwest charges insurers about $114, or about $438 in cash — above the fair price. Located in Midwest City, OK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $95. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Medica $101 106%
+ 1 smaller / regional plan $127

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 2825 Parklawn Drive, Midwest City, OK 73110
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals