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 |
|---|---|---|---|---|
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $84.31 – $120.07 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $81.54 | $148.25 | $3.00 – $10.29 | 9 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.84 – $1.80 | 7 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $213.55 | 8 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $83.70 – $179.11 | 6 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $2,878.96 | 7 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,559.08 | 7 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $7,037.41 | 7 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $2,239.19 | 7 |
| Solid skin barrier HCPCS A4362 | not published | not published | $6.18 – $6.62 | 2 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $15.62 – $16.70 | 2 |
| Somatosensory testing CPT 95927 | $494.34 | $898.80 | $207.67 – $544.95 | 8 |
| Somatropin injection HCPCS J2941 | not published | not published | $55.77 – $249.35 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $6,397.64 | 7 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $1,919.30 | 7 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.97 – $25.97 | 1 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $197.33 – $422.29 | 8 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $16.29 – $18.81 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $251.65 – $3,083.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $276.68 – $3,083.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $175.70 – $1,496.00 | 2 |
| Special casting material HCPCS A4590 | not published | not published | $37.38 – $37.38 | 1 |
| Special physics consult CPT 77370 | not published | not published | $129.27 – $276.64 | 9 |
| Special pump services CPT 99190 | not published | not published | $642.22 – $642.22 | 1 |
| Special pump services CPT 99191 | not published | not published | $449.78 – $449.78 | 1 |
| Special pump services CPT 99192 | not published | not published | $321.40 – $321.40 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $27.76 – $276.64 | 9 |
| Special radiation treatment CPT 77470 | not published | not published | $51.67 – $1,156.94 | 9 |
| Special teletx port plan CPT 77321 | not published | not published | $64.17 – $770.65 | 9 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.28 – $7.02 | 9 |
| Specimen fat stain CPT 89125 | not published | not published | $3.00 – $12.58 | 9 |
| Speech audiometry complete CPT 92556 | not published | not published | $56.74 – $121.42 | 8 |
| Speech evaluation complex CPT 70371 | not published | not published | $98.19 – $491.09 | 9 |
| Speech recep thresh CPT 92555 | not published | not published | $41.65 – $121.42 | 8 |
| Sperm antibody test CPT 89325 | not published | not published | $8.00 – $22.83 | 9 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $41.92 | 9 |
| Sperm identification CPT 89257 | not published | not published | $50.12 – $107.25 | 6 |
| Sperm isolation complex CPT 89261 | not published | not published | $50.12 – $107.25 | 7 |
| Sperm isolation simple CPT 89260 | not published | not published | $50.12 – $107.25 | 7 |
| Sperm washing 58323 CPT 58323 | not published | not published | $18.43 – $1,579.00 | 9 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,043.38 – $12,184.12 | 11 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,140.55 – $5,712.83 | 11 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $166.27 – $1,496.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $187.18 – $3,083.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,081.76 | $5,603.20 | $130.18 – $1,579.00 | 10 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $4,386.82 – $26,424.41 | 10 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $207.67 – $544.95 | 8 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | not published | not published | $41.65 – $768.03 | 8 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $123.75 – $273.81 | 8 |
| Spleen imaging CPT 78185 | not published | not published | $199.66 – $822.80 | 9 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $444.32 – $950.84 | 8 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $60.42 – $129.30 | 8 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $16.77 – $16.77 | 1 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $97.81 – $209.31 | 8 |
| Splint finger frog med HCPCS L3927 | not published | not published | $39.34 – $84.19 | 8 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $3.95 – $4.22 | 2 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $97.81 – $209.31 | 8 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,045.88 – $7,293.65 | 11 |
| Split blood or products CPT 86985 | not published | not published | $15.00 – $350.65 | 9 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $92.77 – $198.53 | 8 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $197.89 – $1,496.00 | 3 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $22.78 – $22.78 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $146.00 – $1,496.00 | 9 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $824.65 – $1,764.75 | 8 |
| Sputum specimen collection CPT 89220 | not published | not published | $13.00 – $350.65 | 9 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $8,873.16 | 8 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $2,099.99 – $5,000.00 | 4 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,550.29 – $5,000.00 | 4 |
| Srs cran les complex addl CPT 61799 | not published | not published | $456.84 – $4,386.82 | 4 |
| Srs cran les simple addl CPT 61797 | not published | not published | $330.59 – $4,386.82 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $375.36 | 8 |
| Srs linear based CPT 77372 | not published | not published | $1,369.19 – $15,159.15 | 8 |
| Srs multisource CPT 77371 | not published | not published | $1,602.51 – $15,159.15 | 8 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,713.64 – $5,000.00 | 4 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $379.71 – $4,386.82 | 4 |
| Staggered spondaic word test CPT 92572 | not published | not published | $76.62 – $273.81 | 8 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $351.80 – $752.85 | 8 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $376.80 | $685.10 | $104.58 – $223.80 | 8 |
| Stance phase only HCPCS L5858 | not published | not published | $23,006.91 – $49,234.79 | 8 |
| Standard control cable extra HCPCS L6655 | not published | not published | $113.34 – $242.55 | 8 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $75.09 | 8 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $207.40 – $443.84 | 8 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $99.06 – $105.32 | 2 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $99.06 – $105.32 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $90.29 | $164.16 | $97.79 – $209.27 | 8 |
| Stem cells total count CPT 86367 | not published | not published | $77.78 – $166.45 | 8 |
| Stenger test pure tone CPT 92565 | not published | not published | $30.14 – $121.42 | 8 |
| Stenger test speech CPT 92577 | not published | not published | $31.59 – $928.55 | 8 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $42,060.04 | $76,472.80 | $1,068.84 – $30,526.42 | 4 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $3,728.00 | $6,778.19 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $646.01 | $1,174.57 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $7,104.69 | $12,917.62 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $10,752.50 | $19,550.00 | $735.07 – $19,278.97 | 4 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $3,992.45 | $7,259.00 | $315.98 – $5,000.00 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $14,061.00 | $25,565.45 | $1,033.08 – $30,526.42 | 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.