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 |
|---|---|---|---|---|
| Complement fixation each CPT 86171 | not published | not published | $7.00 – $21.42 | 9 |
| Complete removal of vulva CPT 56625 | not published | not published | $1,020.81 – $6,662.61 | 11 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $240.30 – $1,579.00 | 11 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $649.36 | $1,180.65 | $348.39 – $2,100.00 | 11 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $371.45 – $2,891.00 | 11 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $8.59 – $1,496.00 | 9 |
| Compl oph exam general anes CPT 92018 | not published | not published | $211.19 – $4,893.31 | 9 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $609.62 | $1,108.40 | $419.95 – $2,891.00 | 11 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $776.05 | $1,411.00 | $506.78 – $2,891.00 | 11 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $829.34 | $1,507.90 | $206.48 – $1,496.00 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $526.87 | $957.95 | $365.44 – $2,100.00 | 11 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,025.70 | $1,864.90 | $390.97 – $2,891.00 | 11 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $568.48 | $1,033.60 | $189.89 – $1,496.00 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $778.86 | $1,416.10 | $124.93 – $1,496.00 | 3 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $302.55 – $2,100.00 | 11 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $108.50 – $1,496.00 | 3 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $817.68 – $1,749.84 | 8 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,056.93 – $4,246.62 | 11 |
| Comprehensive hearing test CPT 92557 | not published | not published | $48.47 – $273.81 | 8 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $115.02 – $274.02 | 8 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $128.05 – $274.02 | 8 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $335.54 – $718.05 | 6 |
| Concentration infection agents any type CPT 87015 | $56.51 | $102.75 | $5.00 – $14.30 | 9 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $123.75 – $273.81 | 8 |
| Condylomata destruction 56420 CPT 56420 | $400.65 | $728.45 | $167.96 – $1,579.00 | 10 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $389.86 – $6,662.61 | 11 |
| Conization of cervix CPT 57520 | not published | not published | $452.44 – $6,662.61 | 11 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $401.50 – $782.93 | 9 |
| Connect omega .5mm HCPCS L8613 | not published | not published | $579.47 – $579.47 | 1 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $808.18 – $6,823.84 | 11 |
| Construction of vagina CPT 57291 | not published | not published | $841.88 – $10,295.98 | 11 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,254.00 – $6,734.39 | 11 |
| Construct vagina with graft CPT 57292 | not published | not published | $1,268.80 – $10,295.98 | 9 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $30.00 – $121.42 | 9 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | not published | not published | $45.96 – $1,658.24 | 8 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $164.45 | $299.00 | $7.00 – $72.95 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $558.80 | $1,016.00 | $19.00 – $350.65 | 9 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $193.05 | $351.00 | $42.61 – $117.00 | 9 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $35.92 – $126.14 | 9 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $163.86 – $350.65 | 9 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $78.64 – $919.44 | 8 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $93.56 – $273.84 | 8 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $48.45 – $53.30 | 2 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $35.54 – $1,496.00 | 3 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $1,120.96 – $12,184.12 | 11 |
| Contour of face bone lesion CPT 21029 | not published | not published | $947.74 – $6,823.84 | 11 |
| Contrast baths charges CPT 97034 | not published | not published | $13.24 – $28.33 | 8 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,506.25 | $6,375.00 | $86.21 – $6,498.69 | 9 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $228.98 – $6,498.69 | 9 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $12,441.34 | $22,620.62 | $98.16 – $11,452.76 | 9 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $100.59 – $361.01 | 9 |
| Contrast x-ray of ankle CPT 73615 | $1,127.50 | $2,050.00 | $145.15 – $718.05 | 9 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $65.68 – $718.05 | 9 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $158.57 – $1,613.46 | 9 |
| Contrast x-ray of elbow CPT 73085 | $3,727.61 | $6,777.48 | $107.30 – $718.05 | 9 |
| Contrast x-ray of hip CPT 73525 | $3,727.61 | $6,777.48 | $145.15 – $718.05 | 9 |
| Contrast x-ray of knee joint CPT 73580 | $1,127.50 | $2,050.00 | $115.45 – $718.05 | 9 |
| Contrast x-ray of wrist CPT 73115 | $1,127.50 | $2,050.00 | $155.69 – $718.05 | 9 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $17,987.99 – $38,494.30 | 8 |
| Control nosebleed pack+caut 30905 CPT 30905 | $440.38 | $800.70 | $127.96 – $1,579.00 | 11 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $692.56 – $4,386.82 | 3 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $774.88 – $6,823.84 | 11 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $227.80 – $1,496.00 | 9 |
| Control of nosebleed ant comp 30903 CPT 30903 | $352.03 | $640.05 | $118.16 – $1,579.00 | 11 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $482.46 | $877.20 | $86.64 – $1,496.00 | 9 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $245.82 – $1,579.00 | 11 |
| Control throat bleeding CPT 42961 | not published | not published | $640.28 – $4,386.82 | 3 |
| Control throat bleeding CPT 42962 | not published | not published | $789.24 – $6,823.84 | 11 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $293.66 – $8,185.00 | 10 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $286.75 – $4,302.40 | 10 |
| Conv gtube to jtube CPT 44373 | not published | not published | $288.34 – $3,949.47 | 11 |
| Coombs direct CPT 86880 | $109.18 | $198.50 | $4.00 – $121.42 | 9 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $4.00 – $350.65 | 9 |
| Coombs indirect titer reference CPT 86886 | $198.14 | $360.25 | $4.00 – $350.65 | 9 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $594.28 – $1,802.23 | 8 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $1,195.95 – $1,734.07 | 2 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $2,247.00 | 8 |
| Core ndl bx lng/med perq CPT 32408 | not published | not published | $231.02 – $6,535.00 | 10 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $912.97 – $14,934.65 | 11 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $789.34 – $6,734.39 | 11 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $778.50 – $14,934.65 | 11 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $12,683.50 – $12,683.50 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $10.97 – $121.42 | 8 |
| Corneal smear CPT 65430 | not published | not published | $151.91 – $1,496.00 | 9 |
| Corneal transplant CPT 65710 | not published | not published | $1,702.11 – $10,952.24 | 11 |
| Corneal transplant CPT 65730 | not published | not published | $1,872.63 – $8,507.36 | 11 |
| Corneal transplant CPT 65750 | not published | not published | $1,885.79 – $10,952.24 | 11 |
| Corneal transplant CPT 65755 | not published | not published | $1,879.82 – $8,507.36 | 11 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,770.86 – $8,507.36 | 10 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $19,317.57 | $35,122.85 | $1,119.17 – $6,672.50 | 9 |
| Coronary angio/lv gram/lt heart CPT 93458 | $6,166.32 | $11,211.50 | $1,062.17 – $6,672.50 | 9 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $18,878.12 | $34,323.85 | $1,237.53 – $6,672.50 | 9 |
| Coronary art/grft angio s&i CPT 93455 | $7,386.97 | $13,430.85 | $1,039.18 – $6,672.50 | 9 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $7,386.97 | $13,430.85 | $947.66 – $6,672.50 | 9 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $982.68 | $1,786.70 | $78.95 – $1,496.00 | 3 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $745.89 – $6,734.39 | 11 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $458.11 – $6,734.39 | 11 |
| Correct finger deformity CPT 26567 | not published | not published | $1,083.94 – $6,734.39 | 11 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $934.19 – $8,058.70 | 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.