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 |
|---|---|---|---|---|
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.07 – $53.65 | 7 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $24.73 – $52.92 | 7 |
| Rubella antibody igg CPT 86762 | $121.96 | $221.75 | $14.39 – $30.79 | 9 |
| Rubeola ag if CPT 87283 | not published | not published | $14.00 – $130.11 | 9 |
| Rubeola antibody igg CPT 86765 | $218.35 | $397.00 | $12.88 – $27.56 | 9 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $705.15 | 7 |
| Russell viper venom diluted CPT 85613 | $162.39 | $295.25 | $7.00 – $20.50 | 9 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,962.55 | 7 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $278.64 – $596.29 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $37.64 – $73.40 | 9 |
| Salivary gland function exam CPT 78232 | not published | not published | $119.59 – $822.80 | 9 |
| Salivary gland imaging CPT 78230 | not published | not published | $204.93 – $822.80 | 9 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $119.59 – $822.80 | 9 |
| Salmonella antibody CPT 86768 | not published | not published | $9.00 – $28.23 | 9 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,321.10 – $6,662.61 | 9 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $128.05 – $274.02 | 8 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $8.59 – $8.59 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $62.47 – $121.82 | 9 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $110.06 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $184.16 – $258.46 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $40.98 | $74.50 | $35.33 – $75.61 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $150.42 | 8 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $617.37 – $12,495.04 | 11 |
| Sbrt management CPT 77435 | not published | not published | $983.74 – $1,056.49 | 2 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,059.96 – $6,548.31 | 7 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $204.61 – $204.61 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $214.64 – $235.04 | 2 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $103.68 – $113.63 | 2 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $150.46 – $164.53 | 2 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $55.60 – $61.40 | 2 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $97.71 – $209.09 | 8 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,356.61 | $4,284.75 | $229.48 – $491.09 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,141.11 | $2,074.75 | $100.55 – $215.17 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $205.44 – $491.09 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $100.55 – $215.17 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $298.26 | $542.30 | $100.55 – $215.17 | 7 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,247.95 | $2,269.00 | $100.55 – $215.17 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,356.61 | $4,284.75 | $229.48 – $491.09 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,141.11 | $2,074.75 | $100.55 – $215.17 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,141.11 | $2,074.75 | $100.55 – $215.17 | 8 |
| Scan proc cranial extra CPT 61782 | not published | not published | $262.50 – $1,496.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $354.80 – $1,496.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $348.41 – $1,496.00 | 2 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,358.37 – $11,466.91 | 8 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $179.89 – $6,535.00 | 10 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $671.63 – $8,185.00 | 11 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | not published | $9,865.02 – $9,865.02 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $39.68 | 8 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $33.32 – $35.99 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $68.35 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $94.10 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $56.69 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $57.89 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $43.36 | 8 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $33.32 – $35.99 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $278.95 – $2,100.00 | 11 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $278.52 – $2,100.00 | 11 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $38.63 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $60.50 | 7 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $99.19 | 8 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $51.53 | 8 |
| Screening Mammogram CPT 77067 | $575.70 | $1,046.72 | $81.39 – $202.77 | 8 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $33.32 – $35.99 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $311.71 | $566.75 | $19.31 – $41.32 | 8 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.54 – $39.68 | 8 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $4.75 – $4.75 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,895.17 | $3,445.76 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $69.25 – $148.19 | 8 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,689.95 | $6,709.00 | $364.83 – $1,496.00 | 2 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $8.61 – $73.74 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $168.85 | $307.00 | $2.70 – $5.78 | 9 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,541.57 – $3,900.02 | 2 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Select picture audiometry CPT 92583 | not published | not published | $56.74 – $121.42 | 8 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.65 – $1.76 | 2 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $13.47 – $13.47 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $20.56 – $59.53 | 7 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $161.70 | $294.00 | $21.04 – $22.57 | 2 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $161.70 | $294.00 | $15.77 – $16.54 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $13.91 | 8 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $9.00 – $25.79 | 9 |
| Semen analysis w/count CPT 89310 | not published | not published | $6.00 – $18.43 | 9 |
| Sensorimotor examination CPT 92060 | not published | not published | $39.26 – $121.42 | 8 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $35.92 – $106.30 | 8 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $594.59 – $4,893.31 | 11 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $410.88 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,049.80 – $14,934.65 | 11 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $967.37 – $6,734.39 | 11 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,141.24 – $14,934.65 | 11 |
| Serial casting application 97139app CPT 97139 | not published | not published | $28.28 – $28.28 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $49.01 – $115.65 | 2 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.96 – $2.96 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $93.41 | 8 |
| Sertraline (zoloft) - sendout CPT 80332 | $114.40 | $208.00 | $35.46 – $35.46 | 1 |
| Set radiation therapy field CPT 77280 | not published | not published | $129.27 – $333.48 | 9 |
| Set radiation therapy field CPT 77285 | not published | not published | $306.00 – $770.65 | 9 |
| Set radiation therapy field CPT 77290 | not published | not published | $306.00 – $770.65 | 9 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $53.58 – $1,496.00 | 9 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $34.55 – $37.33 | 2 |
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.