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 |
|---|---|---|---|---|
| Egd varices ligation CPT 43244 | not published | not published | $369.64 – $3,949.47 | 11 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $352.89 – $7,935.28 | 11 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $591.35 – $12,495.04 | 11 |
| Egfr gene com variants CPT 81235 | $2,228.05 | $4,051.00 | $324.58 – $694.60 | 8 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $35.09 – $75.09 | 8 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $21.52 – $21.68 | 2 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $19.13 – $21.52 | 2 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $10.95 – $12.45 | 2 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $9.07 – $59.53 | 8 |
| Elbow arthroscopy CPT 29830 | not published | not published | $697.47 – $6,734.39 | 11 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $750.72 – $6,734.39 | 11 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $778.74 – $6,734.39 | 11 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $891.73 – $14,934.65 | 11 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $802.07 – $6,734.39 | 11 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $908.48 – $6,734.39 | 11 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $52.48 – $2,100.00 | 10 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.04 – $23.63 | 8 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $38.02 – $2,100.00 | 10 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $53.43 – $1,496.00 | 9 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $46.86 – $1,496.00 | 9 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $18.74 – $19.05 | 2 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $73.80 – $92.46 | 2 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $51.27 – $68.92 | 2 |
| Electrocochleography CPT 92584 | not published | not published | $123.75 – $273.81 | 8 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,512.50 | $2,750.00 | $163.74 – $1,767.45 | 8 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $2,080.28 – $2,351.38 | 2 |
| Electrode stimulation brain CPT 95961 | not published | not published | $243.83 – $1,767.45 | 8 |
| Electroejaculation CPT 55870 | not published | not published | $216.01 – $1,895.69 | 9 |
| Electrogastrography CPT 91132 | not published | not published | $207.67 – $1,496.00 | 9 |
| Electrogastrography w/test CPT 91133 | not published | not published | $127.96 – $1,496.00 | 9 |
| Electrolyte panel CPT 80051 | $118.94 | $216.25 | $5.00 – $15.00 | 9 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $65.70 – $68.11 | 2 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $74.91 – $195.67 | 8 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $411.00 – $1,658.24 | 9 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $109.18 – $273.84 | 8 |
| Electrophysiologic study CPT 93624 | $11,613.64 | $21,115.70 | $93.98 – $16,053.17 | 9 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $403.17 – $16,053.17 | 9 |
| Electrophysiology evaluation CPT 93620 | $12,401.96 | $22,549.01 | $285.78 – $16,053.17 | 9 |
| Electrophysiology evaluation CPT 93621 | $6,049.92 | $10,999.85 | $38.17 – $1,496.00 | 2 |
| Electrophysiology evaluation CPT 93622 | $2,474.94 | $4,499.90 | $78.25 – $1,496.00 | 2 |
| Electrophysiology evaluation CPT 93641 | $1,877.71 | $3,414.02 | $379.29 – $1,496.00 | 2 |
| Electrophysiology evaluation CPT 93642 | $2,121.98 | $3,858.15 | $117.27 – $2,505.92 | 9 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $72.80 – $1,496.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | $5,764.28 | $10,480.50 | $121.73 – $1,496.00 | 2 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $319.52 – $623.06 | 9 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $8.19 – $15.97 | 9 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $192.48 – $375.34 | 8 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $281.89 – $3,949.47 | 10 |
| Embolization s&i CPT 75894 | $3,200.50 | $5,819.10 | $225.66 – $1,337.32 | 3 |
| Embo or occlude vascular arterial s&i CPT 37242 | $7,752.25 | $14,095.00 | $714.21 – $37,729.94 | 9 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $7,752.25 | $14,095.00 | $992.94 – $23,760.10 | 9 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $7,752.25 | $14,095.00 | $842.85 – $23,760.10 | 9 |
| Embo or occlude vascular venous s&i CPT 37241 | $7,148.35 | $12,997.00 | $641.53 – $23,760.10 | 9 |
| Embryo hatching CPT 89253 | not published | not published | $163.86 – $350.65 | 7 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $221.82 – $1,895.69 | 10 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $1,528.18 – $11,452.76 | 9 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,418.81 – $11,452.76 | 9 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $61.48 – $1,496.00 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $96.83 – $1,496.00 | 9 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $1,052.81 | $1,914.20 | $114.96 – $273.84 | 8 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $976.14 | $1,774.80 | $123.75 – $273.81 | 8 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $111.13 – $544.95 | 8 |
| Emg needle test 1-extremity CPT 95860 | $232.82 | $423.30 | $90.04 – $273.84 | 8 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $123.75 – $273.81 | 8 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $108.73 – $544.95 | 8 |
| Encephalitis, california igg/igm CPT 86651 | $33.55 | $61.00 | $9.00 – $28.23 | 9 |
| Encephalitis, st louis igg/igm CPT 86653 | $33.55 | $61.00 | $9.00 – $28.23 | 9 |
| Encephalitis, western equine igg/igm CPT 86654 | $33.55 | $61.00 | $9.00 – $28.23 | 9 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $4,354.35 | $7,917.00 | $417.05 – $8,185.00 | 11 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $4,354.35 | $7,917.00 | $416.80 – $8,185.00 | 11 |
| Endo cath bile duct s&i CPT 74328 | $1,922.59 | $3,495.62 | $75.85 – $245.87 | 2 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $61.08 – $61.08 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $154.74 – $1,579.00 | 10 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $165.71 – $1,895.69 | 10 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $510.72 – $7,935.28 | 11 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $538.08 – $7,935.28 | 11 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $5,000.00 – $21,878.19 | 8 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $215.15 – $1,496.00 | 2 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $211.44 – $1,496.00 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | $5,922.76 | $10,768.65 | $244.73 – $1,496.00 | 2 |
| Endoluminl ivus oct c ea CPT 92979 | $3,011.17 | $5,474.85 | $122.61 – $1,496.00 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $352.60 – $10,295.98 | 11 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $542.35 – $10,295.98 | 9 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $4,386.82 – $21,878.19 | 8 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $303.42 – $7,255.07 | 11 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $179.76 – $8,185.00 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $295.16 – $3,949.47 | 11 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $24.05 – $1,496.00 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $134.98 – $1,914.03 | 11 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $946.16 – $9,189.69 | 6 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $404.07 – $14,525.57 | 11 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $110.31 – $1,914.03 | 11 |
| Endoscopy of ureter CPT 50951 | not published | not published | $464.83 – $7,255.07 | 11 |
| Endoscopy of ureter CPT 50953 | not published | not published | $494.36 – $7,255.07 | 11 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $52.56 – $271.65 | 8 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $3,425.84 | $6,228.80 | $254.46 – $3,663.36 | 11 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $4,386.82 – $7,001.00 | 3 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $8,174.24 | $14,862.25 | $1,189.00 – $4,386.82 | 3 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $871.72 – $23,760.10 | 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.