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 |
|---|---|---|---|---|
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,918.33 | $7,124.24 | not published | 0 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $3.80 – $4.06 | 2 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $240.30 – $1,496.00 | 7 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $81.29 – $1,496.00 | 2 |
| Cath left heart/lv gram CPT 93452 | $7,386.97 | $13,430.85 | $940.46 – $6,672.50 | 9 |
| Cath left heart transseptal punc CPT 93462 | $6,175.68 | $11,228.50 | $308.69 – $1,496.00 | 2 |
| Cath lt/rt pulm art CPT 36014 | $1,050.94 | $1,910.80 | $227.01 – $1,496.00 | 2 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $190.38 | $346.15 | not published | 0 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $60.69 – $64.90 | 2 |
| Cath place 1st order venous 36011 CPT 36011 | $1,343.13 | $2,442.05 | $234.27 – $1,496.00 | 2 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $240.92 – $1,496.00 | 2 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $20,039.86 | $36,436.10 | $1,364.00 – $6,672.50 | 9 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $7,386.97 | $13,430.85 | $1,159.46 – $6,672.50 | 9 |
| Cath plc art/grft/angio right hrt CPT 93457 | $11,034.87 | $20,063.40 | $1,249.50 – $6,672.50 | 9 |
| Cath right heart w/o2 sat & card CPT 93451 | $7,386.97 | $13,430.85 | $1,039.26 – $6,672.50 | 9 |
| Cath right hrt mnpul art CPT 36013 | $4,530.08 | $8,236.50 | $189.17 – $1,496.00 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $73.40 | $133.45 | $87.48 – $1,496.00 | 2 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $257.86 – $1,496.00 | 2 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | not published | not published | $17.25 – $17.25 | 1 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $144.00 – $347.38 | 3 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $0.48 – $4.71 | 2 |
| Cauterization chemical granulation tissue CPT 17250 | $420.28 | $764.15 | $56.75 – $1,496.00 | 9 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $173.20 – $6,662.61 | 9 |
| #cbg+cort-cbg CPT 84449 | $76.31 | $138.75 | $13.00 – $38.52 | 9 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $443.64 | 8 |
| Cdna analysis for variants CPT 81403 | $1,271.32 | $2,311.50 | $185.20 – $396.33 | 8 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $20.09 – $273.84 | 8 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $29.19 – $273.84 | 8 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $517.67 | 8 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $0.95 – $1.32 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $1.37 – $2.07 | 4 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $3.14 – $16.57 | 2 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $12.58 – $20.48 | 2 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $5.71 – $8.34 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $4.39 – $8.56 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.82 – $2.78 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $109.77 – $214.05 | 9 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.56 – $0.80 | 4 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $2.29 – $3.33 | 4 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $202.74 | 8 |
| #celiac hla-dq8 CPT 81383 | $27.78 | $50.50 | $109.13 – $233.54 | 8 |
| Cell count body fluid CPT 89050 | $180.95 | $329.00 | $3.00 – $10.10 | 9 |
| Cell count w differential body fluid CPT 89051 | $106.70 | $194.00 | $4.00 – $11.98 | 9 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $11.00 – $27.97 | 8 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $536.67 | 8 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $290.74 | 8 |
| Cell marker study CPT 88182 | not published | not published | $50.12 – $186.69 | 9 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $29.67 – $57.85 | 9 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,437.91 – $6,734.39 | 11 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $5,535.04 – $8,875.22 | 2 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $365.06 – $4,386.82 | 3 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $541.84 – $6,662.61 | 11 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $286.00 – $1,117.53 | 9 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.44 – $7.92 | 9 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $2,048.66 – $13,666.71 | 9 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $31.28 | $56.88 | $41.64 – $209.09 | 8 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $81.67 – $159.25 | 9 |
| #cf-97variants CPT 81220 | not published | not published | $556.60 – $1,191.12 | 8 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $931.05 | 7 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $361.12 | 7 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $208.05 | 8 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $121.73 – $1,579.00 | 11 |
| Change cystostomy tube simple CPT 51705 | $1,247.76 | $2,268.65 | $78.61 – $1,579.00 | 10 |
| Change gastric port open CPT 43888 | not published | not published | $706.50 – $7,293.65 | 10 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $220.69 – $3,949.47 | 10 |
| Change nephroureteral cath CPT 50387 | not published | not published | $125.47 – $4,302.40 | 10 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $117.19 – $4,302.40 | 11 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $53.27 – $1,579.00 | 10 |
| Change stent via transureth CPT 50385 | not published | not published | $324.92 – $5,316.00 | 10 |
| Change ureter stent percut CPT 50382 | not published | not published | $379.20 – $4,302.40 | 10 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $94.71 – $350.65 | 8 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $141.58 – $1,496.00 | 8 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $324.64 – $1,496.00 | 8 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $390.97 – $1,496.00 | 8 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $314.67 – $1,521.15 | 8 |
| Chemo adm cns w/lmbr punct CPT 96450 | $378.68 | $688.50 | $116.68 – $679.83 | 8 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $165.27 – $1,496.00 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $106.30 – $1,496.00 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $123.20 – $1,496.00 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $175.75 – $1,496.00 | 9 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $162.30 – $1,496.00 | 9 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $378.17 – $2,462.91 | 10 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $179.53 – $1,579.00 | 10 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $305.27 – $1,579.00 | 10 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $78.64 – $1,579.00 | 10 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $62.07 – $1,579.00 | 10 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $185.50 – $1,496.00 | 9 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $165.40 – $1,496.00 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $168.73 – $1,496.00 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $175.73 – $1,496.00 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $202.54 – $1,496.00 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | $388.02 | $705.50 | $273.15 – $679.83 | 8 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $45.04 – $105.25 | 8 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $224.89 – $679.83 | 8 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $147.38 – $679.83 | 8 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $67.69 – $437.78 | 8 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $43.66 – $148.19 | 8 |
| Chemotaxis assay CPT 86155 | not published | not published | $11.00 – $34.22 | 9 |
| Chemotherapy injection 96542 CPT 96542 | $243.57 | $442.85 | $64.04 – $679.83 | 8 |
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.