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 |
|---|---|---|---|---|
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $79.02 – $99.42 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $582.00 – $699.44 | 3 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.23 – $0.25 | 2 |
| Sterile needle HCPCS A4215 | not published | not published | $0.18 – $0.18 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.80 – $0.85 | 2 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $5.67 – $6.06 | 2 |
| Sternal debridement CPT 21627 | not published | not published | $828.79 – $6,734.39 | 8 |
| Sternal pad HCPCS L1050 | not published | not published | $123.34 – $263.95 | 8 |
| St evaluate speech sound production CPT 92522 | $393.17 | $714.85 | $106.63 – $228.19 | 8 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $846.64 | $1,539.35 | $215.91 – $462.05 | 8 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $374.94 | $681.70 | $86.21 – $184.49 | 8 |
| St evaluation swallow function CPT 92610 | $311.36 | $566.10 | $56.21 – $120.29 | 8 |
| Stimulants synthetic CPT 80371 | $139.70 | $254.00 | $35.46 – $35.46 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $875.49 – $4,019.07 | 11 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $24.95 – $53.39 | 8 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $1.35 – $1.45 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $163.86 – $350.65 | 7 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $163.86 – $350.65 | 7 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $163.86 – $350.65 | 6 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $163.86 – $350.65 | 7 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $730.98 – $4,386.82 | 2 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $198.72 – $425.26 | 8 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $18.99 – $20.19 | 2 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $6.92 – $7.39 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $182.32 | $331.50 | $26.59 – $1,496.00 | 9 |
| Strapping of chest CPT 29200 | not published | not published | $28.09 – $1,496.00 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $255.26 | $464.10 | $28.99 – $1,496.00 | 9 |
| Strapping of hand or finger CPT 29280 | $255.26 | $464.10 | $30.83 – $1,496.00 | 9 |
| Strapping of hip CPT 29520 | not published | not published | $28.09 – $1,496.00 | 9 |
| Strapping of knee CPT 29530 | $251.05 | $456.45 | $27.59 – $1,496.00 | 9 |
| Strapping of toes 29550 CPT 29550 | $93.97 | $170.85 | $17.20 – $1,496.00 | 9 |
| Strep a ag ia CPT 87430 | not published | not published | $9.00 – $35.97 | 9 |
| Strep a dna dir probe CPT 87650 | not published | not published | $14.00 – $42.91 | 9 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $89.37 | 8 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $27.24 | 9 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $75.09 | 8 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $148.96 – $148.96 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $27.09 | 9 |
| Streptomycin injection HCPCS J3000 | not published | not published | $29.17 – $53.41 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $419.08 – $590.82 | 2 |
| Stress test pulmonary CPT 94618 | $231.00 | $420.00 | $17.69 – $273.84 | 8 |
| Stress tte complete CPT 93351 | not published | not published | $217.38 – $1,124.62 | 8 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $652.29 | 7 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $498.77 | 7 |
| St treatment speech individual CPT 92507 | $184.20 | $334.90 | $72.61 – $155.39 | 8 |
| St treatment swallow dysfunction/oral CPT 92526 | $262.74 | $477.70 | $79.91 – $171.01 | 8 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $171.82 – $1,579.00 | 10 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $593.25 – $593.25 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $78.53 – $1,496.00 | 8 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $154.76 – $1,521.15 | 8 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $185.98 – $185.98 | 1 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $178.69 – $178.69 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $173.88 – $1,496.00 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $998.62 – $8,185.00 | 10 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $794.48 – $14,934.65 | 10 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $976.29 – $8,185.00 | 10 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $1,336.03 – $26,424.41 | 10 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $0.84 – $1.33 | 2 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,459.00 – $7,293.65 | 10 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,459.00 – $7,293.65 | 10 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $657.00 – $7,293.65 | 10 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,411.00 – $4,246.62 | 10 |
| Suction socket HCPCS L6686 | not published | not published | $793.42 – $1,697.92 | 8 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $622.71 – $1,332.60 | 8 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $24.67 | 9 |
| Sugars single quant CPT 84378 | not published | not published | $11.53 – $24.67 | 9 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.07 – $0.09 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $310.75 | $565.00 | $35.46 – $35.46 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $38.85 – $103.07 | 2 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $5.07 – $5.39 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $5.11 – $96.38 | 8 |
| Supply of digital device HCPCS G0552 | not published | not published | $128.05 – $274.02 | 6 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $37.79 – $40.18 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $73.08 – $156.39 | 8 |
| Supprelin la implant HCPCS J9226 | not published | not published | $37,491.97 – $73,215.98 | 9 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $108.79 – $112.40 | 2 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $94.26 – $97.37 | 2 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $160.64 – $5,712.83 | 11 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,244.51 – $4,386.82 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,245.31 – $4,386.82 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $650.27 – $7,255.07 | 11 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,013.62 – $14,934.65 | 9 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,119.77 – $14,934.65 | 9 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,398.44 – $14,934.65 | 9 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,026.12 – $14,934.65 | 9 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,334.09 – $11,035.58 | 9 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $872.31 – $1,872.00 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,135.54 – $3,193.45 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $154.00 | $280.00 | $15.00 – $59.53 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $246.95 | $449.00 | $35.00 – $76.88 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $463.10 | $842.00 | $45.96 – $107.25 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,081.16 | $1,965.75 | $50.12 – $107.25 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,113.61 | $2,024.74 | $185.00 – $737.75 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,670.90 | $3,038.00 | $231.00 – $1,658.24 | 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.