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 |
|---|---|---|---|---|
| Cable cath 22-pin diag HCPCS C1730 | $895.64 | $1,628.44 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $24.67 – $48.10 | 9 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $1,811.02 | 8 |
| Cad breast MRI w/r&i HCPCS C8937 | $43.48 | $79.05 | not published | 0 |
| Cadd pump refill CPT 96521 | $243.57 | $442.85 | $179.20 – $437.78 | 8 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $1.53 – $2.81 | 2 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $85.79 – $167.29 | 9 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $1,025.10 – $1,756.65 | 2 |
| Calcium 24 hour urine CPT 82340 | $102.16 | $185.75 | $4.00 – $12.90 | 9 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.06 – $0.08 | 4 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.09 – $0.15 | 4 |
| Calcium ionized CPT 82330 | $115.91 | $210.75 | $10.00 – $29.28 | 9 |
| Calcium total CPT 82310 | $87.45 | $159.00 | $4.00 – $11.04 | 9 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $27.54 | 9 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $24.78 | 9 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $9.54 – $444.41 | 8 |
| Calprotectin fecal CPT 83993 | $49.91 | $90.75 | $19.63 – $42.01 | 8 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $74.19 – $158.77 | 7 |
| Campylobacter antibody CPT 86625 | $346.50 | $630.00 | $13.12 – $28.08 | 9 |
| Canakinumab injection HCPCS J0638 | not published | not published | $155.68 – $305.25 | 9 |
| Candida dna CPT 87480 | $84.98 | $154.50 | $20.05 – $42.91 | 9 |
| Candida skin test CPT 86485 | not published | not published | $11.00 – $59.53 | 9 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $208.09 – $11,452.76 | 11 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $23,147.44 | $42,086.25 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $695.21 – $1,355.66 | 7 |
| Canthotomy 67715 CPT 67715 | not published | not published | $160.60 – $4,893.31 | 11 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.08 – $0.16 | 7 |
| Cap nerve 2x15mm HCPCS C1763 | $1,049.71 | $1,908.57 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.51 – $6.84 | 9 |
| Capsular contracture release CPT 23020 | not published | not published | $1,053.30 – $6,734.39 | 11 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $386.32 – $3,309.55 | 9 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $512.28 – $6,734.39 | 11 |
| Cap trach decann 15mm HCPCS C1750 | $1,425.77 | $2,592.31 | not published | 0 |
| Carbamazepine free CPT 80157 | not published | not published | $9.00 – $28.36 | 9 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $18.64 – $39.89 | 8 |
| Carbamazepine total therapeutic drug level CPT 80156 | $246.81 | $448.75 | $10.00 – $31.18 | 9 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $244.50 – $476.77 | 9 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $13.00 – $38.65 | 9 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $11.77 | 9 |
| Carbon dioxide CPT 82374 | not published | not published | $3.00 – $10.44 | 9 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $3.34 – $5.91 | 4 |
| Carboxyhemoglobin quantitative CPT 82375 | $208.86 | $379.75 | $9.00 – $26.36 | 9 |
| Carcinoembryonic ag (cea) CPT 82378 | $321.34 | $584.25 | $13.00 – $40.57 | 9 |
| Cardiac drug stress test CPT 93024 | not published | not published | $83.26 – $919.44 | 8 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $525.53 – $1,124.62 | 7 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $525.53 – $1,124.62 | 7 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $358.84 – $1,124.62 | 8 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $482.75 – $2,664.63 | 8 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $318.94 – $2,664.63 | 8 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $6,603.99 | $12,007.25 | $359.20 – $2,664.63 | 8 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | not published | not published | $20.73 – $265.32 | 8 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $13.47 – $265.32 | 8 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $198.69 – $822.80 | 9 |
| Cardiac Stress Test CPT 93015 | not published | not published | $107.73 – $110.18 | 2 |
| Cardioassist internal CPT 92970 | not published | not published | $281.26 – $1,872.00 | 2 |
| Cardiokymography HCPCS Q0035 | not published | not published | $13.86 – $76.88 | 8 |
| Cardiolipin antibody iga CPT 86147 | $215.74 | $392.25 | $18.00 – $54.46 | 9 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,307.60 | $2,377.45 | $163.48 – $1,496.00 | 9 |
| Cardioversion/elective/internal 92961 CPT 92961 | $654.03 | $1,189.15 | $364.52 – $1,496.00 | 9 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $50.31 – $79.54 | 2 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $39.03 – $83.52 | 7 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $20.72 – $44.34 | 7 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $59.11 – $117.57 | 9 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $1,251.69 | 8 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $1,251.69 | 8 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $165.98 – $468.02 | 9 |
| Carotene CPT 82380 | not published | not published | $7.00 – $19.73 | 9 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,454.86 | $2,645.20 | $219.36 – $491.09 | 8 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $101.67 – $1,496.00 | 2 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $665.59 – $4,019.07 | 11 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $35.76 – $76.88 | 8 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $12.45 – $29.64 | 2 |
| Car-t admn autologous CPT 38228 | not published | not published | $317.68 – $1,496.00 | 8 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $159.46 – $1,872.00 | 2 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $64.35 – $1,872.00 | 2 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $64.89 – $1,872.00 | 2 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $85.41 – $1,914.03 | 9 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $3.81 – $8.92 | 4 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $5.24 – $5.60 | 2 |
| Cataract Surgery CPT 66984 | not published | not published | $814.20 – $6,535.00 | 11 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $1,155.47 – $6,535.00 | 11 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $12.00 – $58.42 | 9 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,541.82 | $2,803.31 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $13,823.10 | $25,132.91 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $527.49 | $959.08 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $26,405.41 | $48,009.84 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $13,940.93 | $25,347.15 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $16,037.12 | $29,158.40 | $1,180.55 – $6,672.50 | 9 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $33.54 – $35.87 | 2 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $4,839.05 | $8,798.27 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,298.50 | $4,179.09 | not published | 0 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $15.85 – $20.83 | 2 |
| Catheter declot mechanical CPT 36596 | not published | not published | $67.67 – $3,239.91 | 10 |
| Catheter insert artery CPT 36625 | not published | not published | $159.54 – $1,496.00 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | not published | not published | $9.34 – $19.99 | 8 |
| Catheter stripping venous CPT 36595 | not published | not published | $272.79 – $6,498.69 | 10 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $4.22 – $4.50 | 2 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $11.49 – $12.29 | 2 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,491.72 | $2,712.22 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $20,970.21 | $38,127.65 | not published | 0 |
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.