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 |
|---|---|---|---|---|
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $31.03 – $679.83 | 8 |
| Chest 2 vws w oblique CPT 71048 | $520.94 | $947.16 | $45.00 – $215.17 | 8 |
| Chest apical lordotic proj CPT 71047 | $508.82 | $925.13 | $42.13 – $179.11 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $4,397.25 | $7,995.00 | $168.70 – $445.05 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $4,242.70 | $7,714.00 | $167.63 – $445.05 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $4,138.20 | $7,524.00 | $100.55 – $265.85 | 8 |
| Chest X-ray CPT 71046 | $505.43 | $918.97 | $33.51 – $179.11 | 8 |
| Chest X-ray (single view) CPT 71045 | $501.07 | $911.04 | $24.88 – $179.11 | 8 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $41.88 – $121.42 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $110.66 – $361.01 | 8 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $443.96 | 7 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $558.09 | 8 |
| Chlamydia culture CPT 87110 | not published | not published | $14.00 – $41.94 | 9 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $9.00 – $25.64 | 9 |
| Chlamydia type CPT 87140 | not published | not published | $4.00 – $11.92 | 9 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $25.75 – $144.00 | 3 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $56.90 – $79.91 | 2 |
| Chloride CPT 82435 | not published | not published | $3.00 – $9.84 | 9 |
| Chloride 24 hour urine CPT 82436 | $85.25 | $155.00 | $4.00 – $12.30 | 9 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.05 – $0.07 | 4 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.68 – $1.15 | 4 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $37.03 – $199.32 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $33.11 – $48.93 | 4 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.37 – $0.57 | 2 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $204.00 – $679.83 | 8 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $317.17 – $8,185.00 | 10 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $890.24 | $1,618.61 | $34.33 – $144.00 | 3 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,844.40 | $8,808.00 | $495.07 – $7,369.13 | 9 |
| Cholesterol CPT 82465 | $36.85 | $67.00 | $3.00 – $9.31 | 9 |
| Cholesterol body fluid CPT 84999 | $180.12 | $327.50 | $32.00 – $32.00 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $424.88 | $772.50 | $13.39 – $28.65 | 9 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,351.75 – $9,362.25 | 8 |
| Cholinesterase CPT 82480 | not published | not published | $5.00 – $16.84 | 9 |
| Cholinesterase challenge CPT 95857 | not published | not published | $43.20 – $544.95 | 8 |
| Chorion biopsy CPT 59015 | not published | not published | $199.33 – $1,895.69 | 9 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $20.81 – $38.06 | 4 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $74.49 | 9 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $22.00 – $83.46 | 9 |
| Chromatography CPT 83021 | $153.04 | $278.25 | $13.00 – $38.65 | 9 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $25.44 | 9 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $122.07 | 8 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $371.63 | 9 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $370.58 | 8 |
| Chromosome analysis 15-20 cell count CPT 88262 | $528.14 | $960.25 | $125.49 – $268.55 | 9 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $370.58 | 8 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $321.62 | 9 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $565.69 | 9 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $370.58 | 9 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $403.54 | 8 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $146.80 | 9 |
| Chromosome count additional CPT 88285 | not published | not published | $22.00 – $57.59 | 9 |
| Chromosome karyotype study CPT 88280 | $160.88 | $292.50 | $33.47 – $71.63 | 9 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $73.68 | 8 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $26.66 | 9 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $24.00 – $131.61 | 9 |
| Cidofovir injection HCPCS J0740 | not published | not published | $535.74 – $1,044.68 | 9 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $8.37 – $13.30 | 4 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $586.24 – $4,893.31 | 11 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $587,977.76 – $1,146,556.62 | 8 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.05 | 2 |
| Cine/video x-rays CPT 76120 | $321.64 | $584.80 | $100.55 – $215.17 | 9 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $41.52 – $60.00 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $2.39 – $3.36 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $45.03 – $47.91 | 2 |
| Circum 28 days or older CPT 54161 | not published | not published | $301.46 – $4,302.40 | 11 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $222.46 – $2,100.00 | 11 |
| Circumcision (newborn) CPT 54150 | not published | not published | $146.71 – $4,302.40 | 11 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $3.26 – $6.64 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $705.15 | 8 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.19 – $25.90 | 9 |
| Claviculectomy partial CPT 23120 | not published | not published | $899.55 – $6,734.39 | 11 |
| Claviculectomy total CPT 23125 | not published | not published | $1,084.64 – $6,734.39 | 11 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $206.00 – $1,496.00 | 9 |
| Clearance of airways CPT 31720 | $416.08 | $756.50 | $74.41 – $1,579.00 | 11 |
| Clearance of tear duct CPT 68530 | not published | not published | $305.27 – $1,496.00 | 9 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $65.73 – $273.84 | 8 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $31.83 – $273.84 | 8 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $48.03 – $273.84 | 8 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $31.83 – $76.88 | 8 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.84 – $3.12 | 4 |
| Clip ligating vesolock lg HCPCS C1760 | $1,062.89 | $1,932.52 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,784.87 – $6,662.61 | 9 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $315.67 – $675.53 | 8 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $16.24 – $35.13 | 9 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $18.47 – $31.65 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $405.32 | $736.95 | $237.24 – $1,496.00 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $611.80 – $3,309.55 | 11 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,111.00 – $3,309.55 | 8 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $237.24 – $1,496.00 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,005.58 | $3,646.50 | $660.68 – $3,309.55 | 11 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $237.24 – $1,579.00 | 10 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,726.01 | $3,138.20 | $699.18 – $3,309.55 | 11 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $255.72 | $464.95 | $170.62 – $1,496.00 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $977.22 – $6,535.00 | 11 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $255.89 – $2,100.00 | 11 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $498.88 – $3,193.45 | 11 |
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.