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 |
|---|---|---|---|---|
| Cystoscopy and biopsy CPT 52007 | not published | not published | $251.83 – $7,255.07 | 11 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $361.89 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $265.54 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $307.30 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $372.16 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $436.87 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $593.58 – $11,035.58 | 11 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $318.89 – $4,302.40 | 11 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $246.05 – $4,302.40 | 10 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $400.03 – $4,302.40 | 11 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $489.17 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $305.06 – $4,302.40 | 11 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $297.06 – $2,100.00 | 11 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $368.61 – $4,302.40 | 11 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $423.73 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $439.16 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $420.86 – $11,035.58 | 11 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $229.69 – $4,302.40 | 11 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $415.47 – $4,302.40 | 11 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $372.57 – $7,255.07 | 11 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $398.78 – $7,255.07 | 11 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $122.22 – $1,579.00 | 11 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $256.16 – $5,316.00 | 10 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $250.48 – $2,100.00 | 11 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $510.39 – $8,185.00 | 11 |
| Cystoscopy inject material CPT 52327 | not published | not published | $392.92 – $11,035.58 | 11 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $2,074.00 – $11,035.58 | 10 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $434.97 – $7,255.07 | 11 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $274.87 – $4,302.40 | 11 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $375.92 – $4,302.40 | 11 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $484.36 – $11,035.58 | 11 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $201.96 – $4,302.40 | 11 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $445.71 – $4,302.40 | 11 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $719.68 – $7,255.07 | 11 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,189.97 – $7,255.07 | 9 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $458.65 – $7,255.07 | 11 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $559.53 – $7,255.07 | 11 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $631.25 – $11,035.58 | 11 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $707.49 – $11,035.58 | 11 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $629.32 – $11,035.58 | 10 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $593.11 – $11,035.58 | 11 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $675.53 – $11,035.58 | 11 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $535.93 – $7,255.07 | 11 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $597.20 – $7,255.07 | 11 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $402.46 – $7,255.07 | 11 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $230.33 – $4,302.40 | 11 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $214.63 – $4,302.40 | 11 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $76.82 – $4,386.82 | 4 |
| Cystourethro w/implant CPT 52441 | not published | not published | $317.58 – $4,386.82 | 4 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,189.00 – $8,185.00 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $520.51 – $7,255.07 | 11 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $468.31 – $7,255.07 | 11 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $430.17 – $7,255.07 | 11 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.92 – $1.59 | 4 |
| Cytogenetics 25-99 CPT 88274 | $206.52 | $375.50 | $42.38 – $90.69 | 8 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $30.00 – $87.10 | 8 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $2,482.40 | 8 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $1,926.00 | 8 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $243.92 | $443.50 | $14.39 – $30.79 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $142.72 | $259.50 | $16.85 – $36.06 | 9 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $28.72 | 9 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,858.82 – $3,624.70 | 9 |
| Cyto/molecular report CPT 88291 | not published | not published | $33.00 – $50.88 | 3 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $54.29 | 9 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $9.00 – $31.35 | 9 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $27.82 – $76.11 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $477.95 | $869.00 | $50.12 – $178.00 | 9 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $56.95 | 9 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $108.90 | $198.00 | $20.26 – $43.36 | 9 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $98.45 | $179.00 | $35.92 – $76.88 | 9 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $35.92 – $76.88 | 9 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $11.97 – $39.95 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | not published | not published | $31.11 – $350.65 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $138.05 | $251.00 | $50.12 – $177.00 | 9 |
| Cytopath smear other source CPT 88160 | not published | not published | $27.82 – $78.99 | 9 |
| Cytopath smear other source CPT 88162 | not published | not published | $50.12 – $130.22 | 9 |
| Cytopath smear oth prep screen & interp CPT 88161 | $98.45 | $179.00 | $27.82 – $81.86 | 9 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $18.54 – $39.68 | 9 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $45.00 – $168.31 | 9 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $63.52 | 9 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $163.86 – $535.67 | 8 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $5.13 – $7.20 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $307.41 – $1,098.67 | 9 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $11.29 – $25.11 | 9 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $18.29 – $28.58 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.07 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.08 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $57.05 – $111.25 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.92 – $5.69 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.92 – $5.69 | 9 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $272.89 – $532.13 | 9 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $30.10 – $58.59 | 4 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $192.96 – $1,496.00 | 9 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $286.71 – $6,662.61 | 11 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $356.85 – $6,662.61 | 11 |
| Dch glucoscan CPT 82948 | not published | not published | $4.00 – $10.79 | 9 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $126.87 – $768.03 | 8 |
| Dch validity tests CPT 81002 | $95.70 | $174.00 | $3.48 – $7.45 | 9 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $915.78 – $8,185.00 | 11 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,726.21 – $6,823.84 | 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.