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 |
|---|---|---|---|---|
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $373.88 – $7,255.07 | 9 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $67.70 – $95.45 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $9.52 – $14.70 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $748.88 – $1,460.31 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.03 – $0.31 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.75 – $1.31 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $69.39 – $108.55 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $35.92 – $76.88 | 8 |
| Disability dlco CPT 94727 | $741.18 | $1,347.60 | $47.40 – $444.41 | 8 |
| Disaccharidases CPT 82657 | not published | not published | $13.00 – $47.44 | 9 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $721.90 – $4,246.62 | 11 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $311.11 – $4,386.82 | 3 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $110.66 – $4,019.07 | 9 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $147.74 – $3,663.36 | 9 |
| Dissolve clot heart vessel CPT 92975 | $5,732.48 | $10,422.70 | $560.39 – $1,872.00 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,705.03 – $11,452.76 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,209.70 – $12,184.12 | 9 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $516.43 – $4,386.82 | 3 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $35.46 – $35.46 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $440.16 – $4,386.82 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $597.06 | 8 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $293.18 | 8 |
| Dna antibody native/double stranded CPT 86225 | $232.92 | $423.50 | $10.00 – $29.40 | 9 |
| Dna gardnerella CPT 87510 | $112.75 | $205.00 | $20.05 – $42.91 | 9 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $48.68 | 9 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $57.52 | 9 |
| Dna trichomonas CPT 87660 | $112.75 | $205.00 | $20.05 – $127.00 | 9 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $9.29 – $16.18 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.70 – $1.64 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $46.29 – $90.26 | 8 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $20.04 – $20.04 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $99.08 – $99.08 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.81 – $1.26 | 4 |
| Doppler echo complete CPT 93320 | $606.82 | $1,103.30 | $47.88 – $47.88 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,176.20 | $5,774.90 | $186.52 – $1,496.00 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $493.02 | $896.40 | $156.58 – $444.41 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,332.54 | $2,422.80 | $101.51 – $273.84 | 8 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.00 – $1.33 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $61.09 – $85.74 | 4 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $37,262.35 – $37,262.35 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $251.30 – $490.03 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.59 – $5.39 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $116.60 – $240.65 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.14 – $0.19 | 3 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $374.09 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $770.44 | $1,400.80 | $178.21 – $1,496.00 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $898.54 | $1,633.70 | $216.97 – $1,496.00 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $1,390.34 | $2,527.90 | $245.60 – $3,399.30 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $770.44 | $1,400.80 | $189.92 – $1,496.00 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $316.08 – $5,978.45 | 11 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $750.74 – $5,978.45 | 11 |
| Drainage mouth roof lesion CPT 42000 | $355.30 | $646.00 | $165.32 – $2,100.00 | 11 |
| Drainage of arm bursa 23931 CPT 23931 | $2,158.20 | $3,924.00 | $245.08 – $3,399.30 | 11 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $625.84 – $5,978.45 | 11 |
| Drainage of eye CPT 65800 | not published | not published | $134.49 – $4,749.93 | 11 |
| Drainage of eye CPT 65810 | not published | not published | $694.48 – $4,749.93 | 11 |
| Drainage of eye CPT 65815 | not published | not published | $712.75 – $4,749.93 | 11 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $565.17 – $3,309.55 | 11 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $142.91 – $1,579.00 | 11 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $174.81 – $1,579.00 | 11 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $351.20 – $3,193.45 | 11 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $336.61 – $3,193.45 | 11 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $390.87 – $6,823.84 | 11 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $432.50 – $1,579.00 | 11 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $453.03 – $1,579.00 | 11 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $519.05 – $12,184.12 | 11 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $516.25 – $6,823.84 | 11 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $603.65 – $3,193.45 | 11 |
| Drainage of nose lesion int 30000 CPT 30000 | $103.32 | $187.85 | $183.62 – $1,496.00 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,057.95 | $1,923.55 | $186.01 – $1,496.00 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $804.69 – $3,309.55 | 11 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $991.00 – $6,734.39 | 11 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $676.91 – $7,255.07 | 11 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $692.08 – $7,255.07 | 11 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $911.05 – $7,255.07 | 11 |
| Drainage of rectal abscess CPT 45005 | $1,285.16 | $2,336.65 | $249.30 – $2,462.91 | 11 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $864.25 – $5,712.83 | 11 |
| Drainage of salivary gland CPT 42305 | not published | not published | $662.32 – $6,823.84 | 11 |
| Drainage of salivary gland CPT 42320 | not published | not published | $272.80 – $1,579.00 | 11 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,218.74 – $12,184.12 | 11 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $600.05 – $7,255.07 | 11 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $253.42 – $4,302.40 | 9 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $643.66 – $2,891.00 | 11 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $989.97 – $4,302.40 | 9 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $77.79 – $1,872.00 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $138.85 | $252.45 | $48.52 – $1,496.00 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $310.91 – $3,399.30 | 10 |
| Drain cath image guided visceral pq CPT 49405 | $2,186.25 | $3,975.00 | $293.48 – $8,185.00 | 10 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,039.72 | $1,890.40 | $139.12 – $1,579.00 | 11 |
| Drain chest lesion CPT 21502 | not published | not published | $770.15 – $6,734.39 | 11 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $160.19 – $171.30 | 2 |
| Drain finger abscess;simple 26010 CPT 26010 | $562.40 | $1,022.55 | $192.96 – $1,496.00 | 9 |
| Drain lower leg bursa CPT 27604 | not published | not published | $493.54 – $6,734.39 | 11 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $593.09 – $5,978.45 | 11 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $511.08 – $5,978.45 | 11 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $655.03 – $6,662.61 | 9 |
| Drain ovary abscess open CPT 58820 | not published | not published | $517.34 – $6,662.61 | 11 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,189.00 – $4,386.82 | 3 |
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.