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 |
|---|---|---|---|---|
| Ultrasound joint complete left CPT 76881 | $2,102.24 | $3,822.25 | $15.77 – $215.17 | 8 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $1,141.11 | $2,074.75 | $44.53 – $215.17 | 8 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $20.56 – $215.17 | 8 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $1,406.62 | $2,557.50 | $59.38 – $138.46 | 3 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $347.88 | $632.50 | $30.19 – $96.30 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $126.87 – $491.09 | 9 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $1,141.11 | $2,074.75 | $82.00 – $215.17 | 9 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $1,141.11 | $2,074.75 | $72.80 – $215.17 | 9 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $637.45 | $1,159.00 | $82.39 – $215.17 | 9 |
| Ultrasound prostate/transrectal CPT 76872 | $1,141.11 | $2,074.75 | $100.55 – $243.35 | 9 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,141.11 | $2,074.75 | $46.93 – $215.17 | 9 |
| Ultrasound scrotum and contents CPT 76870 | $1,141.11 | $2,074.75 | $100.55 – $215.17 | 9 |
| Ultrasound spinal canal and contents CPT 76800 | $347.60 | $632.00 | $100.55 – $215.17 | 9 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $127.00 – $301.54 | 3 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,141.11 | $2,074.75 | $100.55 – $215.17 | 9 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $209.32 – $718.05 | 8 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $148.04 – $148.04 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.70 – $16.48 | 8 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $104.10 – $4,386.82 | 3 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $293.08 – $1,579.00 | 10 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $731.00 – $1,496.00 | 3 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $14,823.51 – $31,722.31 | 8 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $27.82 – $59.53 | 7 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $27.82 – $59.53 | 7 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.48 – $96.38 | 8 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted CT procedure CPT 76497 | $632.50 | $1,150.00 | $83.70 – $179.11 | 8 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $360.00 – $822.80 | 8 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $50.12 – $290.00 | 7 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $41.00 – $107.25 | 8 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $542.23 – $542.23 | 1 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $123.75 – $1,496.00 | 9 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $226.00 – $822.80 | 8 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $194.44 – $1,496.00 | 9 |
| Unlisted fluoroscopic px CPT 76496 | $181.16 | $329.38 | $64.75 – $179.11 | 9 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $310.00 – $822.80 | 8 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $307.00 – $822.80 | 8 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $17.00 – $17.00 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $194.44 – $1,496.00 | 9 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px renal CPT 50549 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px testis CPT 54699 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $4,386.82 – $12,442.83 | 9 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted misc path test CPT 89240 | not published | not published | $50.12 – $109.00 | 8 |
| Unlisted mr procedure CPT 76498 | not published | not published | $83.70 – $179.11 | 8 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $327.00 – $822.80 | 8 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $384.49 – $822.80 | 8 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $27.82 – $59.53 | 7 |
| Unlisted orl service/px CPT 92700 | not published | not published | $27.82 – $59.53 | 7 |
| Unlisted procedure colon CPT 45399 | not published | not published | $894.41 – $5,316.00 | 10 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $872.31 – $1,872.00 | 9 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $305.27 – $1,496.00 | 9 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted procedure liver CPT 47399 | not published | not published | $681.06 – $1,496.00 | 9 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $78.00 – $78.00 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $305.27 – $1,496.00 | 9 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $681.06 – $1,496.00 | 9 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $894.41 – $1,914.03 | 9 |
| Unlisted procedure spine CPT 22899 | not published | not published | $237.24 – $1,496.00 | 9 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,394.53 – $4,386.82 | 3 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $36.04 – $77.12 | 7 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $237.24 – $1,496.00 | 9 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted px ant segment eye CPT 66999 | $2,870.45 | $5,219.00 | $1,411.00 – $4,749.93 | 9 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $237.24 – $1,496.00 | 9 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $872.31 – $1,872.00 | 9 |
| Unlisted px casting/strpg CPT 29799 | $175.78 | $319.60 | $156.29 – $1,496.00 | 9 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $305.27 – $1,496.00 | 9 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $681.06 – $1,496.00 | 9 |
| Unlisted px external ear CPT 69399 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $305.27 – $1,496.00 | 9 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $237.24 – $1,496.00 | 9 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $237.24 – $1,496.00 | 9 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $237.24 – $1,496.00 | 9 |
| Unlisted px inner ear CPT 69949 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $305.27 – $1,496.00 | 9 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $237.24 – $1,496.00 | 9 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $240.30 – $1,496.00 | 9 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $129.27 – $276.64 | 8 |
| Unlisted px middle ear CPT 69799 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $227.80 – $1,496.00 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $237.24 – $1,496.00 | 9 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,411.00 – $4,749.93 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $227.80 – $1,496.00 | 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.