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 |
|---|---|---|---|---|
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $577.85 – $63,510.93 | 9 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $1,270.85 – $6,734.39 | 9 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $3,028.92 – $4,917.56 | 3 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $2,277.96 – $3,570.00 | 3 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $119.38 – $255.47 | 8 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.04 – $2.86 | 4 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.71 – $59.89 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $11.62 – $22.65 | 8 |
| Romiplostim injection HCPCS J2796 | not published | not published | $157.73 – $157.73 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $12.73 – $24.83 | 9 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.07 – $0.13 | 4 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $868.15 – $1,857.84 | 8 |
| Rotavirus antibody CPT 86759 | not published | not published | $15.00 – $39.01 | 9 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $96.11 – $205.68 | 8 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $33.52 – $412.94 | 8 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.59 – $46.00 | 8 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $979.32 – $26,424.41 | 9 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $851.78 – $14,934.65 | 10 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $1,059.84 – $26,424.41 | 9 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,728.82 | $3,143.30 | $98.50 – $3,239.91 | 11 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,797.68 | $3,268.50 | $309.87 – $822.80 | 9 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $530.22 – $2,664.63 | 8 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,045.16 – $2,943.10 | 8 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,046.25 | $3,720.45 | $88.48 – $3,239.91 | 11 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $432.01 – $6,498.69 | 11 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $495.67 – $11,452.76 | 11 |
| Rpl tun cvc wo subq port CPT 36581 | $3,516.07 | $6,392.85 | $274.99 – $6,498.69 | 11 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $46.06 – $46.06 | 1 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $46.06 – $46.06 | 1 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,556.71 – $8,185.00 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $1,172.76 – $13,324.34 | 10 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $1,134.31 – $12,442.83 | 10 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $871.23 – $13,324.34 | 10 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $519.87 – $7,369.13 | 10 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $723.04 – $12,442.83 | 10 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,886.53 – $8,185.00 | 4 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $1,346.09 – $5,000.00 | 4 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $1,305.95 – $8,185.00 | 4 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $971.54 – $13,324.34 | 10 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $868.87 – $12,442.83 | 10 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $641.10 – $7,369.13 | 10 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,498.58 – $11,452.76 | 9 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,386.37 – $11,452.76 | 9 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $1,113.01 – $12,184.12 | 11 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,511.58 – $12,184.12 | 11 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $963.03 – $8,185.00 | 11 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $1,214.83 – $12,442.83 | 9 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,459.00 – $11,035.58 | 11 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $870.84 – $7,255.07 | 11 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $937.82 – $7,369.13 | 11 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $622.93 – $7,369.13 | 11 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $924.14 – $8,185.00 | 11 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $633.61 – $13,324.34 | 11 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,460.13 – $7,369.13 | 9 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,074.00 – $5,712.83 | 7 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $257.22 – $12,184.12 | 10 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $228.92 – $12,184.12 | 9 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $1,130.91 – $5,000.00 | 4 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $1,395.50 – $8,185.00 | 4 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $23.83 – $23.83 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $17.21 – $121.42 | 8 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $880.38 – $7,369.13 | 11 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $553.65 – $14,934.65 | 11 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $224.42 – $480.25 | 8 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,440.72 – $19,483.75 | 11 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $3,108.92 – $14,934.65 | 8 |
| Rsv assay w/optic CPT 87807 | $391.05 | $711.00 | $13.10 – $28.03 | 8 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $28.66 – $274.02 | 7 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $35.89 – $76.81 | 7 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $35.89 – $76.81 | 7 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $35.89 – $76.81 | 7 |
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.