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 |
|---|---|---|---|---|
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $25.48 – $35.76 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $34.30 – $34.30 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $127.06 – $127.06 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $20.07 – $37.42 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $36.71 – $36.71 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $17.15 – $17.15 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $45.65 – $45.65 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $120.56 – $120.56 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $38.53 – $58.96 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.41 – $17.49 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $234.94 – $357.51 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $199.77 – $304.01 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $180.57 – $264.10 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $165.22 – $251.20 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $97.11 – $151.91 | 2 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $292.07 – $457.03 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $152.16 – $219.22 | 4 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $294.11 – $423.75 | 4 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $297.71 – $417.83 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $356.71 – $500.64 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $46.97 – $66.75 | 2 |
| Vaccine rabies im CPT 90675 | not published | not published | $331.98 – $647.36 | 9 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $309.75 – $499.07 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $545.74 – $837.43 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $545.74 – $837.43 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $308.70 – $473.70 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $145.68 – $227.91 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $103.76 – $162.34 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $44.54 – $62.92 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $38.71 – $54.34 | 4 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $138.48 – $153.90 | 2 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $192.15 – $286.32 | 2 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $235.17 – $242.58 | 2 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $89.15 – $95.33 | 2 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $579.49 – $1,240.11 | 8 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $227.49 – $486.83 | 8 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,170.85 – $11,065.62 | 8 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,524.70 – $10,295.98 | 10 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,906.37 – $10,295.98 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,422.18 – $10,295.98 | 10 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $2,009.32 – $15,262.36 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,865.42 – $10,295.98 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,370.44 – $10,295.98 | 10 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $194.44 – $1,496.00 | 9 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,377.60 – $6,662.61 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,285.86 – $10,295.98 | 10 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,074.00 – $6,662.61 | 9 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,689.55 – $3,615.64 | 7 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,650.17 – $4,386.82 | 3 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $169.95 – $4,386.82 | 3 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $229.49 | $417.25 | $10.00 – $28.98 | 9 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,247.05 – $2,431.74 | 9 |
| Valvuloplasty aortic CPT 92986 | $5,920.89 | $10,765.25 | $1,978.77 – $11,714.30 | 9 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,189.00 – $1,872.00 | 2 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,189.00 – $1,872.00 | 2 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $2,039.77 – $23,760.10 | 9 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,630.99 – $23,760.10 | 9 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $2.22 – $3.79 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $542.30 | $986.00 | $10.00 – $28.98 | 9 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $75.09 | 8 |
| Vantas implant HCPCS J9225 | not published | not published | $8,005.32 – $8,005.32 | 1 |
| Variable concentration mask HCPCS A4620 | not published | not published | $1.34 – $1.43 | 2 |
| Varicella zoster antibody igg CPT 86787 | $109.18 | $198.50 | $12.88 – $27.56 | 9 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,497.73 – $5,345.15 | 8 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $61.71 – $132.06 | 8 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $4,386.82 – $37,729.94 | 7 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,118.12 – $6,734.39 | 10 |
| Vasectomy CPT 55250 | not published | not published | $350.16 – $4,302.40 | 11 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $1.62 – $2.99 | 4 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.62 – $42.16 | 9 |
| Veeg cont 2-12 hrs CPT 95713 | $631.12 | $1,147.50 | $358.89 – $928.55 | 8 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,189.32 | $2,162.40 | $825.91 – $1,780.43 | 8 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $342.21 | $622.20 | $358.89 – $768.03 | 8 |
| Veeg unmon 12-26 hrs CPT 95714 | $631.12 | $1,147.50 | $358.89 – $928.55 | 8 |
| Veeg unmon 2-12 hrs CPT 95711 | $342.21 | $622.20 | $207.67 – $544.95 | 8 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $107.73 – $6,498.69 | 9 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $127.38 – $10,811.40 | 3 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $107.26 – $1,291.11 | 9 |
| Vein x-ray kidney CPT 75831 | not published | not published | $98.63 – $6,498.69 | 9 |
| Vein x-ray liver CPT 75891 | not published | not published | $104.86 – $6,498.69 | 9 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $103.90 – $6,498.69 | 9 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $103.90 – $6,498.69 | 9 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $104.86 – $6,498.69 | 9 |
| Vein x-ray skull CPT 75870 | not published | not published | $140.80 – $6,498.69 | 9 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $107.73 – $1,291.11 | 9 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $548.22 – $6,498.69 | 9 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $392.84 – $766.04 | 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.