SSM Health St Anthony Hospital - Oklahoma City
SSM Health St Anthony Hospital - Oklahoma City charges 5.8x the Medicare reimbursement rate across 105 analyzed procedures, positioning this nonprofit-religious facility among Oklahoma City's mid-range pricing options.
Oklahoma City, OK 73101 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
5.79x
Charge / Medicare rate
Max markup
9.26x
Worst procedure
Procedures analyzed
105
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $47,958 | $23,979 | — | 9.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $65,735 | $32,868 | — | 9.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $66,887 | $33,443 | — | 9x |
| MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | 708 | $75,159 | $37,579 | — | 8.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $111,272 | $55,636 | — | 8.1x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $95,243 | $47,622 | — | 8.1x |
| HYPERTENSION WITHOUT MCC | 305 | $41,890 | $20,945 | — | 7.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $83,696 | $41,848 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $44,326 | $22,163 | — | 7.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $36,558 | $18,279 | — | 7.3x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $52,542 | $26,271 | — | 7.2x |
| RENAL FAILURE WITH CC | 683 | $39,341 | $19,671 | — | 7.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $57,345 | $28,673 | — | 7.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,835 | $18,917 | — | 7.1x |
| DIABETES WITH MCC | 637 | $67,549 | $33,774 | — | 7.1x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $78,113 | $39,056 | — | 7.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $64,743 | $32,372 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $85,821 | $42,911 | — | 7x |
| PLEURAL EFFUSION WITH MCC | 186 | $73,358 | $36,679 | — | 7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $38,485 | $19,243 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $45,421 | $22,711 | — | 6.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $36,962 | $18,481 | — | 6.9x |
| DIABETES WITH CC | 638 | $40,358 | $20,179 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $33,877 | $16,938 | — | 6.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $86,126 | $43,063 | — | 6.6x |
| SEIZURES WITHOUT MCC | 101 | $35,228 | $17,614 | — | 6.6x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $69,176 | $34,588 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $117,408 | $58,704 | — | 6.5x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $96,160 | $48,080 | — | 6.4x |
| RENAL FAILURE WITH MCC | 682 | $65,887 | $32,944 | — | 6.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $42,846 | $21,423 | — | 6.2x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $69,598 | $34,799 | — | 6.1x |
| CELLULITIS WITHOUT MCC | 603 | $34,775 | $17,388 | — | 6.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $80,303 | $40,152 | — | 6.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $69,117 | $34,558 | — | 6.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $52,491 | $26,246 | — | 6.1x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $97,517 | $48,758 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $82,069 | $41,035 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $31,899 | $15,949 | — | 6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $79,219 | $39,610 | — | 6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $251,953 | $125,976 | — | 5.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $34,777 | $17,388 | — | 5.9x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $125,164 | $62,582 | — | 5.8x |
| SYNCOPE AND COLLAPSE | 312 | $31,156 | $15,578 | — | 5.8x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $185,155 | $92,577 | — | 5.8x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $73,384 | $36,692 | — | 5.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $75,081 | $37,540 | — | 5.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $98,686 | $49,343 | — | 5.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $123,942 | $61,971 | — | 5.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $48,362 | $24,181 | — | 5.7x |
Showing 50 of 105 procedures
How SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use