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 |
|---|---|---|---|---|
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $232.59 – $12,495.04 | 10 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $298.77 – $5,712.83 | 10 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $181.53 – $2,462.91 | 11 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $187.25 – $1,914.03 | 11 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $257.31 – $2,462.91 | 11 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $142.26 – $1,914.03 | 11 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $27.76 – $121.42 | 8 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $118.23 – $2,462.91 | 11 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.28 – $0.44 | 2 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $871.10 – $1,864.15 | 8 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $219.87 – $1,579.00 | 10 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $163.32 – $229.21 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $37.33 – $215.17 | 8 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $302.33 – $646.99 | 8 |
| Single transfer toe-hand CPT 26553 | not published | not published | $4,386.82 – $14,934.65 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,949.11 | $5,362.01 | $168.70 – $445.05 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $2,949.11 | $5,362.01 | $148.47 – $445.05 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $2,424.81 | $4,408.74 | $100.55 – $265.85 | 8 |
| Sinus/juglr venogram s&i CPT 75860 | $2,219.69 | $4,035.80 | $104.86 – $6,498.69 | 9 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $510.59 – $6,823.84 | 11 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $896.05 – $12,184.12 | 11 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $777.67 – $12,184.12 | 11 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $296.87 – $635.30 | 8 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $129.31 – $276.72 | 8 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,932.43 – $109,068.23 | 9 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.30 – $4.39 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $91.03 – $188.21 | 9 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $294.78 – $630.83 | 8 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $35.46 – $35.46 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,594.00 – $7,293.65 | 11 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $13.14 – $14.04 | 2 |
| Skin Biopsy CPT 11102 | not published | not published | $57.24 – $1,496.00 | 9 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,017.10 – $4,246.62 | 11 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $161.98 – $1,496.00 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,113.25 – $7,293.65 | 11 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,100.95 – $4,246.62 | 11 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $166.63 – $1,496.00 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $9.07 – $59.53 | 8 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,061.95 – $1,551.95 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $374.09 | 7 |
| Sleep study attended CPT 95807 | not published | not published | $358.89 – $928.55 | 8 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $730.16 – $1,780.43 | 8 |
| Sleep study unattended CPT 95806 | not published | not published | $73.72 – $444.41 | 8 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $239.91 – $513.41 | 8 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $10.89 | $19.80 | $16.14 – $17.26 | 2 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $72.14 – $154.38 | 8 |
| Slitting of prepuce CPT 54000 | not published | not published | $169.06 – $7,255.07 | 11 |
| Slitting of prepuce CPT 54001 | not published | not published | $214.71 – $4,302.40 | 11 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $48.68 – $48.68 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $131.51 – $131.51 | 1 |
| Slp pure tone screening CPT 92551 | not published | not published | $18.17 – $18.17 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $56.74 – $121.42 | 8 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $104.68 – $104.68 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $30,488.89 | 8 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $36.04 | 9 |
| Small bowel endoscopy CPT 44360 | not published | not published | $216.99 – $3,949.47 | 11 |
| Small bowel endoscopy CPT 44364 | not published | not published | $308.00 – $3,949.47 | 11 |
| Small bowel endoscopy CPT 44366 | not published | not published | $361.46 – $3,949.47 | 11 |
| Small bowel endoscopy CPT 44369 | not published | not published | $370.17 – $3,949.47 | 11 |
| Small bowel endoscopy CPT 44376 | not published | not published | $427.89 – $3,949.47 | 11 |
| Small bowel endoscopy CPT 44378 | not published | not published | $579.69 – $3,949.47 | 11 |
| Small bowel endoscopy CPT 44382 | not published | not published | $111.66 – $1,872.00 | 11 |
| Small bowel endoscopy CPT 44384 | not published | not published | $230.89 – $3,949.47 | 10 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $288.95 – $3,949.47 | 11 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $274.99 – $3,949.47 | 11 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $239.12 – $3,949.47 | 11 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $451.18 – $3,949.47 | 11 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $86.58 – $1,872.00 | 11 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $128.10 – $3,949.47 | 10 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $402.31 – $12,495.04 | 11 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $90.73 | $164.97 | $4.00 – $11.53 | 9 |
| Smear gram stain CPT 87205 | $188.79 | $343.25 | $3.00 – $9.14 | 9 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $3.00 – $12.39 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $25.44 | $46.25 | $5.99 – $15.00 | 9 |
| Smear wet mount CPT 87210 | $269.09 | $489.25 | $3.00 – $12.45 | 9 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $644.89 | 7 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $396.33 | 7 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $100.58 | 8 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $109.29 | 8 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,329.12 – $2,844.32 | 8 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $1,013.18 – $2,168.21 | 8 |
| Socket insert above knee HCPCS L5658 | not published | not published | $445.13 – $952.58 | 8 |
| Socket insert below knee HCPCS L5655 | not published | not published | $375.45 – $803.46 | 8 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $465.36 – $995.87 | 8 |
| Socket insert symes HCPCS L5654 | not published | not published | $482.61 – $1,032.79 | 8 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $747.37 – $1,599.37 | 8 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $896.90 – $1,919.37 | 8 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $47.94 – $102.59 | 8 |
| Sock wool above knee HCPCS L8430 | not published | not published | $27.95 – $59.81 | 8 |
| Sodium 24 hour urine CPT 84300 | $82.36 | $149.75 | $3.00 – $10.83 | 9 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.82 – $4.42 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.41 – $2.22 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.71 – $1.10 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.18 – $0.20 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.21 – $3.89 | 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.