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 |
|---|---|---|---|---|
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $816.39 – $6,823.84 | 11 |
| Cltx post ankle fx CPT 27767 | not published | not published | $237.24 – $1,579.00 | 10 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $690.74 – $3,309.55 | 10 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $799.89 | $1,454.35 | $587.52 – $3,309.55 | 11 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $255.72 | $464.95 | $237.24 – $1,579.00 | 11 |
| Cltx thigh fx CPT 27267 | not published | not published | $679.70 – $6,734.39 | 10 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,150.64 – $3,193.45 | 11 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,193.34 – $10,295.98 | 11 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $239.03 – $928.55 | 8 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $234.73 – $1,780.43 | 8 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $635.65 – $1,780.43 | 8 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $21.99 – $121.42 | 8 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $21.99 – $121.42 | 8 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $7.00 – $30.11 | 9 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $18.83 | 9 |
| #cmvcul-virus inoculation shell CPT 87254 | $331.51 | $602.75 | $14.00 – $41.86 | 9 |
| Cmv pcr-sendout CPT 87496 | $297.41 | $540.75 | $25.00 – $75.09 | 9 |
| Co2 monitor per day CPT 94681 | not published | not published | $55.50 – $768.03 | 8 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.77 – $5.41 | 9 |
| Coagulation time activated teg CPT 85347 | $240.21 | $436.75 | $4.28 – $9.16 | 9 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.00 – $9.61 | 9 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $123.75 – $273.81 | 8 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $123.75 – $273.81 | 8 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.50 – $2.50 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $5.00 – $17.27 | 9 |
| Cold agglutinin titer CPT 86157 | $136.54 | $248.25 | $6.00 – $17.25 | 9 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $13.61 – $22.86 | 4 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $78.30 – $152.68 | 9 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $30.50 – $65.27 | 7 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $75.05 – $160.61 | 8 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $161.96 – $346.59 | 8 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $124.18 – $265.75 | 8 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $684.43 – $1,464.68 | 8 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $159.88 | $290.70 | $39.73 – $1,496.00 | 9 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $154.28 | $280.50 | $43.08 – $1,496.00 | 9 |
| Collection of venous blood by venipuncture CPT 36415 | $91.99 | $167.25 | $8.57 – $19.99 | 8 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $206.28 – $1,496.00 | 9 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $278.52 – $2,100.00 | 11 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $379.96 – $3,359.00 | 10 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $344.24 – $2,462.91 | 11 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $347.87 – $2,462.91 | 11 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $317.18 – $1,914.03 | 11 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $301.38 – $2,462.91 | 11 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $458.83 – $3,359.00 | 10 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $340.03 – $2,462.91 | 11 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $302.24 – $2,462.91 | 11 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $235.62 – $1,914.03 | 11 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $407.88 – $3,359.00 | 10 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $319.58 – $2,462.91 | 11 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $355.03 – $3,359.00 | 10 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $390.16 – $2,462.91 | 11 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $349.06 – $3,359.00 | 10 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $276.55 – $3,359.00 | 10 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $388.65 – $2,462.91 | 11 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $458.83 – $2,462.91 | 11 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $436.84 – $12,495.04 | 10 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $359.79 – $2,462.91 | 11 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $258.97 – $3,359.00 | 10 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $365.46 – $3,359.00 | 10 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $302.71 – $2,462.91 | 11 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $258.97 – $2,462.91 | 11 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $383.36 – $2,462.91 | 11 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $414.80 – $3,359.00 | 10 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $501.52 – $5,712.83 | 10 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $394.23 – $12,495.04 | 10 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $345.96 – $3,359.00 | 10 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $121.32 – $10,295.98 | 11 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $812.56 – $10,295.98 | 9 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $1,478.58 – $4,386.82 | 3 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $1,062.99 – $15,262.36 | 9 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $1,070.06 – $15,262.36 | 9 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $2,074.00 – $10,295.98 | 9 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $506.32 – $6,662.61 | 11 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $186.21 – $1,895.69 | 10 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $279.83 – $6,662.61 | 10 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $138.61 – $1,579.00 | 10 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $128.54 – $1,496.00 | 9 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $173.48 – $1,579.00 | 10 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $166.02 – $1,579.00 | 10 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $699.84 – $6,662.61 | 11 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $308.40 – $6,662.61 | 11 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $443.30 | $806.00 | $9.00 – $350.65 | 9 |
| Compatibility test each unit electronic CPT 86923 | not published | not published | $38.81 – $350.65 | 8 |
| Compatibility test each unit immediate spin technique CPT 86920 | $301.40 | $548.00 | $16.00 – $350.65 | 9 |
| Compatibility test incubate CPT 86921 | not published | not published | $14.00 – $350.65 | 9 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $376.58 – $1,496.00 | 9 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $374.13 – $1,496.00 | 9 |
| Complement antigen each component c3 CPT 86160 | $203.36 | $369.75 | $9.00 – $25.68 | 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.