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 |
|---|---|---|---|---|
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,541.77 – $12,184.12 | 11 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,682.28 – $12,184.12 | 11 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,459.00 – $11,035.58 | 11 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,083.00 – $7,195.64 | 9 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,646.41 – $12,184.12 | 11 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $456.86 – $7,195.64 | 11 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $218.60 – $7,195.64 | 11 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $350.03 – $7,195.64 | 11 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $3,515.15 – $36,087.88 | 8 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $3,514.52 – $36,087.88 | 8 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $922.33 – $63,510.93 | 9 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,189.00 – $36,087.88 | 8 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $1,319.16 – $22,933.75 | 9 |
| Revsc opn/prq tib/pero stent CPT 37234 | $6,418.31 | $11,669.65 | $419.28 – $5,000.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $11.00 – $21.45 | 9 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $298.38 – $6,535.00 | 10 |
| Rheumatoid factor qualitative CPT 86430 | $96.80 | $176.00 | $4.00 – $13.14 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $277.34 | $504.25 | $4.00 – $12.13 | 9 |
| Rh ig IV CPT 90386 | not published | not published | $10.51 – $15.97 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $31.33 – $171.20 | 8 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,594.00 – $12,184.12 | 11 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $5.56 – $7.93 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $26.93 – $39.09 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $35.79 – $69.79 | 9 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $87.96 – $133.31 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $86.97 – $125.77 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $435.94 – $6,672.50 | 9 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $286.85 – $6,672.50 | 9 |
| Rhythm ecg with report CPT 93040 | not published | not published | $19.48 – $20.13 | 2 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,135.61 – $12,184.12 | 11 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $99.14 – $212.16 | 8 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,394.00 – $3,189.00 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.16 – $0.23 | 3 |
| Right heart cath congenital CPT 93530 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Right ventric recording CPT 93603 | $2,220.16 | $4,036.65 | $93.03 – $2,505.92 | 9 |
| Rilonacept injection HCPCS J2793 | not published | not published | $28.46 – $41.19 | 2 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $10.68 – $11.42 | 2 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $296.08 – $633.61 | 8 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $203.03 – $434.48 | 8 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $1,277.14 – $1,277.14 | 1 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $10.68 – $11.42 | 2 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.53 – $28.34 | 9 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $11.10 – $21.65 | 9 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $73.28 – $142.89 | 9 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.39 – $70.96 | 9 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $34.56 – $67.40 | 9 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $18.53 – $68.03 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $16.16 – $37.41 | 9 |
| R & l heart cath congenital CPT 93531 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,358.38 – $6,672.50 | 9 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $1,354.45 – $6,672.50 | 9 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,683.23 – $14,934.65 | 8 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $141.91 – $1,579.00 | 10 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $1,019.47 – $12,442.83 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $521.15 – $3,309.55 | 11 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $611.47 – $5,978.45 | 11 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $1,964.44 | $3,571.70 | $346.35 – $2,462.91 | 11 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $215.28 – $3,399.30 | 10 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,112.02 – $10,886.92 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $187.62 – $1,496.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | $4,003.67 | $7,279.40 | $1,286.37 – $7,691.36 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $17,877.67 | $32,504.85 | $577.06 – $45,781.45 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $17,877.67 | $32,504.85 | $601.83 – $64,604.16 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $17,877.67 | $32,504.85 | $555.17 – $45,781.45 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $4,003.67 | $7,279.40 | $320.14 – $7,691.36 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $157.55 – $1,496.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $734.12 – $4,386.82 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $236.59 – $1,496.00 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $300.45 – $1,496.00 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $9,489.78 | $17,254.15 | $346.99 – $17,032.30 | 11 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $240.84 – $1,872.00 | 2 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $312.19 – $7,195.64 | 9 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $859.91 – $7,195.64 | 9 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $518.19 – $7,195.64 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $8,257.45 | $15,013.55 | $556.00 – $39,644.17 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $6,233.64 | $11,333.90 | $506.33 – $17,032.30 | 9 |
| Rmvl pq iabp CPT 33968 | not published | not published | $50.61 – $22,607.00 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,556.31 | $2,829.65 | $280.97 – $4,386.82 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,254.00 – $6,734.39 | 11 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $518.23 – $7,691.36 | 9 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,102.36 | $2,004.30 | $128.13 – $2,100.00 | 10 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $835.97 – $5,978.45 | 11 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $148.40 – $1,496.00 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $3,138.97 – $14,934.65 | 8 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $3,429.97 – $14,934.65 | 8 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rmvl tv pm lead dual CPT 33235 | $4,003.67 | $7,279.40 | $948.02 – $7,691.36 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | $4,003.67 | $7,279.40 | $721.94 – $7,691.36 | 9 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $722.95 – $6,734.39 | 10 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $913.76 – $6,734.39 | 9 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $807.81 – $6,734.39 | 10 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $411.35 – $4,386.82 | 3 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $764.30 – $22,933.75 | 9 |
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.