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 |
|---|---|---|---|---|
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $636.95 – $1,363.07 | 8 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,037.61 – $2,220.49 | 8 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $138.20 – $295.75 | 8 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $105.64 – $226.07 | 8 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $77.24 – $165.29 | 8 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $122.31 – $261.74 | 8 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $301.13 – $644.42 | 8 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $870.15 – $1,862.12 | 8 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $728.43 – $1,558.84 | 8 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $507.88 – $1,086.86 | 8 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,836.48 – $3,930.07 | 8 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,203.61 – $4,715.73 | 8 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $752.04 – $1,609.37 | 8 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,268.37 – $2,714.31 | 8 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,131.82 – $2,422.09 | 8 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $413.94 – $885.83 | 8 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $107.96 – $231.03 | 8 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,240.26 – $4,794.16 | 8 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $573.13 – $1,226.50 | 8 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $698.63 – $1,495.07 | 8 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $165.33 – $353.81 | 8 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $455.16 – $974.04 | 8 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,076.32 – $2,303.32 | 8 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $122.90 – $263.01 | 8 |
| Brace m arm board HCPCS L3809 | $326.37 | $593.40 | $281.17 – $601.70 | 8 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,501.02 – $3,212.18 | 8 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,228.79 – $2,629.61 | 8 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $281.17 – $601.70 | 8 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $136.83 – $292.82 | 8 |
| Brace wrist classic lft sm HCPCS L3908 | $78.75 | $143.19 | $67.37 – $144.17 | 8 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,204.05 – $5,978.45 | 10 |
| Brach/thor cath 1st CPT 36215 | $1,581.20 | $2,874.91 | $319.52 – $1,496.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | $1,322.44 | $2,404.44 | $408.24 – $1,496.00 | 2 |
| Brach/thor cath 3rd CPT 36217 | $516.12 | $938.40 | $499.40 – $1,496.00 | 2 |
| Brach/thor cath addl CPT 36218 | $516.12 | $938.40 | $78.84 – $1,496.00 | 2 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.26 – $75.46 | 7 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $36.64 – $78.41 | 7 |
| Brachy source palladium HCPCS C2640 | not published | not published | $88.26 – $188.88 | 7 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $64.48 – $137.99 | 7 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $17,771.01 – $38,029.96 | 7 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $99.80 – $213.57 | 7 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $357.49 – $765.03 | 7 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $119.11 – $254.90 | 7 |
| Brachytx isodose complex CPT 77318 | not published | not published | $360.12 – $770.65 | 8 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $328.01 – $770.65 | 8 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $248.97 – $770.65 | 8 |
| Braf gene CPT 81210 | $1,203.95 | $2,189.00 | $175.40 – $375.36 | 8 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Brain flow imaging only CPT 78610 | not published | not published | $213.08 – $1,117.53 | 9 |
| Brain image < 4 views CPT 78600 | not published | not published | $212.61 – $822.80 | 9 |
| Brain image 4+ views CPT 78605 | not published | not published | $231.28 – $1,117.53 | 9 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $254.29 – $822.80 | 9 |
| Brain image w/flow 4 + views CPT 78606 | $2,487.92 | $4,523.50 | $390.78 – $1,117.53 | 9 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $255.29 – $718.05 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,060.27 | $3,745.95 | $229.48 – $491.09 | 8 |
| Brain MRI (with and without contrast) CPT 70553 | $3,833.97 | $6,970.85 | $316.62 – $892.83 | 8 |
| Brain MRI (with contrast) CPT 70552 | $2,123.38 | $3,860.70 | $279.73 – $892.83 | 8 |
| Brain MRI (without contrast) CPT 70551 | $1,927.04 | $3,503.70 | $190.15 – $604.30 | 8 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $45.92 – $98.27 | 8 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $1,001.52 | 8 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,250.25 | 8 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $803.04 | 8 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $644.89 | 8 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $605.36 | 8 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $396.16 | 8 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $803.04 | 8 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $605.36 | 8 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $941.60 | 8 |
| Brcassure comprehensive panel-sendout CPT 81162 | $7,732.31 | $14,058.75 | $1,824.88 – $3,905.24 | 8 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $930.66 – $16,822.37 | 11 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,140.05 | $3,891.00 | $233.86 – $3,399.30 | 10 |
| Breast punct aspir cyst, bil CPT 19000 | $765.30 | $1,391.45 | $64.37 – $1,579.00 | 10 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,748.18 – $29,577.20 | 11 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,675.63 – $4,491.00 | 3 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Breast reduction CPT 19318 | not published | not published | $1,594.00 – $13,666.71 | 11 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $92.44 – $1,496.00 | 9 |
| Breathing response hypoxia CPT 94450 | not published | not published | $87.13 – $273.81 | 8 |
| Breath recording infant CPT 94772 | not published | not published | $281.25 – $928.55 | 8 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $202.04 | 9 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $23.67 | 9 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $279.21 – $544.45 | 9 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $510,103.92 – $994,702.64 | 9 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $214.99 – $1,579.00 | 11 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $101.59 – $2,100.00 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $333.46 – $8,185.00 | 10 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $369.69 – $8,185.00 | 10 |
| Bronchial allergy tests CPT 95070 | not published | not published | $50.23 – $928.55 | 8 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $161.23 – $1,579.00 | 11 |
| Bronchial challenge CPT 94070 | not published | not published | $51.67 – $768.03 | 8 |
| Bronchial valve init insert CPT 31647 | not published | not published | $310.73 – $14,525.57 | 10 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $101.42 – $3,663.36 | 10 |
| Bronchial valve remov init CPT 31648 | not published | not published | $299.49 – $7,673.63 | 10 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $327.09 – $14,525.57 | 11 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $222.67 – $3,663.36 | 11 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $299.30 – $7,673.63 | 11 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $341.08 – $14,525.57 | 11 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $74.19 – $2,100.00 | 4 |
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.