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 |
|---|---|---|---|---|
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $412.94 – $4,019.07 | 11 |
| D&c of cervical stump CPT 57558 | not published | not published | $196.23 – $6,662.61 | 11 |
| Deamidated gliadin antibody iga CPT 86258 | $75.90 | $138.00 | $12.05 – $25.79 | 7 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,059.79 – $4,386.82 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $42.61 – $1,496.00 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $363.72 | $661.30 | $37.66 – $1,496.00 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,138.34 | $3,887.90 | $343.28 – $3,399.30 | 11 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $347.35 | $631.55 | $83.36 – $1,496.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,079.92 | $1,963.50 | $147.09 – $1,496.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,620.82 | $2,946.95 | $92.11 – $2,100.00 | 11 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $21.88 – $1,496.00 | 9 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $36.55 – $1,496.00 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $450.42 – $2,100.00 | 11 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $628.86 – $5,978.45 | 11 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $861.56 – $4,386.82 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,168.90 – $4,386.82 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $389.43 | $708.05 | $38.53 – $1,496.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $78.17 – $1,496.00 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $417.28 – $2,100.00 | 11 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $22.72 – $1,496.00 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,112.16 | $3,840.30 | $233.63 – $2,100.00 | 11 |
| Decalcification CPT 88311 | $125.95 | $229.00 | $12.42 – $27.15 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $2.02 – $2.82 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $637.67 | $1,159.40 | $49.75 – $1,496.00 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $722.34 – $6,734.39 | 11 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,104.94 – $3,309.55 | 11 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,459.00 – $3,309.55 | 11 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $859.08 – $6,734.39 | 10 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,312.34 – $6,734.39 | 10 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,459.00 – $6,734.39 | 11 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,189.38 – $6,734.39 | 11 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,254.00 – $14,934.65 | 11 |
| Decompression of leg CPT 27892 | not published | not published | $816.62 – $6,734.39 | 11 |
| Decompression of leg CPT 27893 | not published | not published | $937.98 – $14,934.65 | 11 |
| Decompression of leg CPT 27894 | not published | not published | $1,237.34 – $6,734.39 | 11 |
| Decompression of lower leg CPT 27600 | not published | not published | $608.07 – $6,734.39 | 11 |
| Decompression of lower leg CPT 27601 | not published | not published | $673.05 – $6,734.39 | 11 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $839.89 – $6,734.39 | 11 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $888.54 – $6,734.39 | 11 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,004.09 – $3,309.55 | 11 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,072.11 – $14,934.65 | 11 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $548.87 – $4,019.07 | 11 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $565.30 – $4,019.07 | 11 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,594.00 – $8,091.55 | 11 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,467.89 – $14,934.65 | 10 |
| Decompress small bowel CPT 44021 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,262.68 – $14,934.65 | 10 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,697.72 – $14,934.65 | 10 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $484.26 – $1,496.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $234.32 – $5,978.45 | 11 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $9.36 – $14.13 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.48 – $8.74 | 9 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,152.07 – $16,822.37 | 11 |
| Delay flap arms/legs CPT 15610 | not published | not published | $367.49 – $4,246.62 | 11 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $518.98 – $4,246.62 | 11 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $492.49 – $4,246.62 | 11 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $318.35 – $7,293.65 | 11 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $137.72 – $6,662.61 | 9 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $978.42 – $4,386.82 | 3 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $128.05 – $274.02 | 7 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $361.38 | $657.05 | $25.79 – $450.70 | 8 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,594.00 – $6,734.39 | 11 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $30.10 – $58.70 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $642.34 | $1,167.90 | $127.96 – $1,579.00 | 11 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $5.43 – $5.81 | 2 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $48.24 – $67.72 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $557.92 – $5,978.45 | 9 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $641.97 – $1,579.00 | 9 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $390.97 – $1,579.00 | 9 |
| Dermabrasion total face CPT 15780 | not published | not published | $1,002.37 – $5,978.45 | 8 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,019.70 – $7,293.65 | 11 |
| Dermagraft HCPCS Q4106 | not published | not published | $73.81 – $73.81 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $104.15 – $4,246.62 | 8 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,147.30 – $7,293.65 | 11 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $899.43 – $4,246.62 | 11 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $215.66 – $8,058.70 | 9 |
| Design mlc device for imrt CPT 77338 | not published | not published | $351.84 – $770.65 | 8 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $5.12 – $10.40 | 4 |
| Desoxycorticosterone CPT 82633 | not published | not published | $22.00 – $66.30 | 9 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $591.55 – $4,386.82 | 3 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $131.68 – $1,496.00 | 9 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $179.21 – $1,496.00 | 9 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $192.96 – $1,496.00 | 9 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $144.93 – $1,496.00 | 9 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $159.31 – $1,496.00 | 9 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $183.83 – $1,496.00 | 9 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $106.80 – $1,496.00 | 9 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $132.16 – $1,496.00 | 9 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $167.45 – $1,496.00 | 9 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $185.37 – $1,496.00 | 9 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $293.19 – $4,019.07 | 10 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $102.56 – $1,496.00 | 2 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $227.95 – $5,316.00 | 10 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $82.86 – $1,496.00 | 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.