SSM Health St. Anthony Hospital - Midwest
2825 Parklawn Drive, Midwest City, OK · SSM Health · · NPI 1700471497
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $62.66 | 9 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $16.00 – $48.81 | 9 |
| 17-ketosteroids CPT 83586 | not published | not published | $9.00 – $27.39 | 9 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $128.05 – $274.02 | 8 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $1,371.85 – $1,371.85 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $76.87 | 8 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $32.54 – $273.84 | 8 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,315.53 | $4,210.05 | $753.95 – $1,613.46 | 7 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $753.95 – $1,613.46 | 7 |
| 2nd order venous cath CPT 36012 | $1,315.54 | $2,391.90 | $261.14 – $1,496.00 | 2 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $35.82 – $35.82 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $369.64 – $2,848.80 | 9 |
| 3d recon without postprocess indpndt CPT 76376 | $743.32 | $1,351.50 | $22.49 – $40.72 | 2 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $8.00 – $23.86 | 9 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $27.79 – $74.78 | 2 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $112.40 – $112.40 | 1 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $120.13 – $120.13 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $127.43 – $127.43 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $102.57 – $102.57 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $112.40 – $112.40 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $112.40 – $112.40 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $127.43 – $127.43 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $150.19 – $150.19 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $45.86 – $89.43 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $26.40 | $48.00 | $9.00 – $25.70 | 9 |
| Abciximab injection HCPCS J0130 | not published | not published | $2,280.82 – $2,280.82 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $3,623.12 | $6,587.50 | $92.88 – $6,498.69 | 9 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Abd/low ext cath 1st CPT 36245 | $1,479.29 | $2,689.61 | $353.47 – $1,496.00 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $1,738.05 | $3,160.09 | $378.71 – $1,496.00 | 2 |
| Abd/low ext cath 3rd CPT 36247 | $2,045.90 | $3,719.81 | $447.52 – $1,496.00 | 2 |
| Abd/low ext cath addl CPT 36248 | $3,190.22 | $5,800.40 | $72.50 – $1,496.00 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $4,496.25 | $8,175.00 | $168.70 – $445.05 | 8 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,934.15 | $7,153.00 | $168.70 – $445.05 | 8 |
| Abdominal CT scan (without contrast) CPT 74150 | $3,716.90 | $6,758.00 | $100.55 – $215.17 | 8 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| Abdominal MRI (with contrast) CPT 74182 | $2,103.75 | $3,825.00 | $331.00 – $718.05 | 8 |
| Abdominal MRI (without contrast) CPT 74181 | $2,060.27 | $3,745.95 | $191.12 – $491.09 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,562.55 | $2,841.00 | $160.39 – $1,872.00 | 10 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,716.00 | $3,120.00 | $100.55 – $215.17 | 9 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,141.11 | $2,074.75 | $85.74 – $215.17 | 9 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,459.00 – $13,666.71 | 11 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,232.55 | $2,241.00 | $110.93 – $1,872.00 | 10 |
| Abl1 gene CPT 81170 | not published | not published | $300.00 – $642.00 | 8 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $601.61 – $1,496.00 | 2 |
| Ablate arrhythmia add on CPT 93655 | $6,141.55 | $11,166.45 | $455.88 – $1,496.00 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $971.98 – $4,386.82 | 3 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $519.13 – $14,934.65 | 9 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $555.12 – $36,087.88 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $11,161.56 | $20,293.75 | $864.94 – $16,053.17 | 9 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $304.21 – $3,193.45 | 11 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $226.40 – $3,193.45 | 11 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $660.81 – $21,878.19 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $661.76 – $12,442.83 | 10 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $3,876.51 | $7,048.20 | $123.75 – $1,496.00 | 9 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $872.31 – $1,872.00 | 9 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $237.24 – $1,496.00 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $676.38 – $21,878.19 | 10 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $424.31 – $1,496.00 | 9 |
| Ablation cryo thigh/knee CPT 27599 | $738.65 | $1,343.00 | $237.24 – $1,496.00 | 9 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,223.45 – $21,878.19 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | $400.95 | $729.00 | $295.22 – $1,496.00 | 9 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,588.46 – $3,399.30 | 8 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,494.63 – $19,483.75 | 10 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $4,386.82 – $27,154.61 | 7 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.95 – $17.44 | 9 |
| Abortion CPT 59850 | not published | not published | $597.28 – $4,386.82 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $293.08 – $1,579.00 | 9 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $25.33 – $1,496.00 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $192.96 – $1,496.00 | 8 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,186.25 | $3,975.00 | $293.48 – $8,185.00 | 10 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $1,491.32 | $2,711.50 | $184.17 – $1,496.00 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $425.60 – $1,496.00 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.06 – $0.08 | 4 |
| Acetaminophen level CPT 80143 | not published | not published | $18.64 – $39.89 | 8 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $21.73 – $46.19 | 4 |
| Acetone qualitative CPT 82009 | not published | not published | $3.00 – $9.67 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | $11.55 | $21.00 | $12.05 – $25.79 | 8 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $26.30 | 9 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.51 – $1.15 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $9.62 – $13.50 | 4 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $144.16 – $1,496.00 | 9 |
| Acne surgery 10040 CPT 10040 | not published | not published | $79.18 – $1,496.00 | 9 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $164.33 – $351.67 | 8 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $129.25 – $276.60 | 8 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $76.97 – $209.09 | 8 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $53.73 – $65.88 | 2 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $76.97 – $100.86 | 2 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $138.53 – $365.32 | 8 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $128.05 – $274.02 | 8 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $13.94 – $77.12 | 8 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $40.20 | $73.10 | $11.89 – $25.44 | 8 |
| Acoustic immitance testing CPT 92570 | not published | not published | $44.35 – $273.81 | 8 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $22.75 – $76.88 | 8 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $944.09 – $6,734.39 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.