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 |
|---|---|---|---|---|
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $303.04 – $4,386.82 | 3 |
| Endovenous laser vein addon 36479 CPT 36479 | $3,304.95 | $6,009.00 | $203.95 – $3,181.00 | 3 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $272.34 – $6,498.69 | 9 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $133.42 – $1,496.00 | 2 |
| Endovenous rf abl vein addl CPT 36476 | $3,850.00 | $7,000.00 | $200.07 – $3,181.00 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $269.55 – $11,452.76 | 9 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $132.73 – $1,496.00 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.66 – $71.48 | 9 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.59 – $1.12 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $9.00 – $25.64 | 9 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $364.18 – $4,386.82 | 3 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,074.00 – $7,935.28 | 8 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,278.72 – $3,949.47 | 8 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $21.00 – $94.22 | 9 |
| Enzyme histochemistry CPT 88319 | not published | not published | $100.00 – $1,658.24 | 9 |
| Ep & ablate supravent arrhyt CPT 93653 | $25,508.67 | $46,379.40 | $1,243.80 – $53,796.61 | 9 |
| Ep & ablate ventric tachy CPT 93654 | $17,877.67 | $32,504.85 | $1,498.63 – $53,796.61 | 9 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $57.99 – $113.08 | 9 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,060.35 – $4,246.62 | 11 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $209.30 – $1,496.00 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,084.82 – $4,246.62 | 11 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $153.80 – $1,496.00 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $78.76 – $1,496.00 | 3 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $493.00 – $1,820.41 | 11 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $373.41 – $1,820.41 | 11 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,254.00 – $12,184.12 | 11 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $5,239.92 | 8 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,909.74 | $3,472.25 | $199.43 – $2,505.92 | 9 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,115.72 – $6,734.39 | 11 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $945.49 – $6,734.39 | 11 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.85 – $2.59 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $224.27 – $6,662.61 | 9 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.81 – $1.46 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $7.97 – $15.54 | 9 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $6.88 – $14.60 | 9 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.44 – $2.66 | 4 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $18.33 – $26.21 | 4 |
| Epstein barr early antigen antibody CPT 86663 | $55.55 | $101.00 | $9.00 – $28.08 | 9 |
| Epstein barr nuclear antigen antibody CPT 86664 | $259.19 | $471.25 | $11.00 – $32.72 | 9 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $307.59 | $559.25 | $13.00 – $38.82 | 9 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $3.87 – $20.53 | 8 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $21.10 – $41.15 | 9 |
| Ercp biliary & pancreas CPT 74330 | $1,217.95 | $2,214.46 | $103.05 – $368.79 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $697.62 – $12,495.04 | 10 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $570.41 – $8,185.00 | 10 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $652.94 – $8,185.00 | 10 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $653.04 – $12,495.04 | 11 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $548.82 – $7,935.28 | 11 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $567.29 – $8,185.00 | 10 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $538.99 – $3,949.47 | 11 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $726.40 – $12,495.04 | 10 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $486.59 – $7,935.28 | 11 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $9.41 – $9.41 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $59.98 – $220.13 | 9 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $10.47 – $21.30 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $686.40 | $1,248.00 | $17.64 – $173.55 | 8 |
| ER Visit (level 2) CPT 99282 | $892.38 | $1,622.50 | $64.45 – $316.02 | 8 |
| ER Visit (level 3) CPT 99283 | $1,304.19 | $2,371.25 | $109.78 – $561.84 | 8 |
| ER Visit (level 4) CPT 99284 | $2,173.19 | $3,951.25 | $186.88 – $858.80 | 8 |
| ER Visit (level 5, high severity) CPT 99285 | $2,402.54 | $4,368.25 | $270.86 – $1,225.71 | 8 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $75.19 – $132.68 | 4 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,074.00 – $8,185.00 | 9 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.47 – $0.74 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.32 – $0.45 | 4 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $120.69 – $188.00 | 3 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $171.71 – $4,386.82 | 3 |
| Esophageal motility CPT 78258 | not published | not published | $237.03 – $822.80 | 9 |
| Esophageal recording CPT 93615 | not published | not published | $13.37 – $2,505.92 | 9 |
| Esophageal recording CPT 93616 | not published | not published | $27.18 – $2,505.92 | 9 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $2,074.00 – $8,185.00 | 9 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $293.28 – $5,316.00 | 10 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $149.07 – $2,891.00 | 10 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $354.17 – $3,949.47 | 10 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $285.02 – $12,495.04 | 10 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $237.46 – $3,949.47 | 11 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $178.31 – $3,949.47 | 11 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $249.23 – $3,949.47 | 11 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $155.76 – $3,949.47 | 11 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $132.94 – $1,872.00 | 11 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $124.83 – $2,891.00 | 10 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $213.49 – $3,949.47 | 11 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $297.03 – $8,185.00 | 10 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $201.63 – $3,949.47 | 11 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $392.06 – $5,316.00 | 10 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $281.59 – $7,935.28 | 10 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $236.31 – $3,949.47 | 10 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $835.64 – $12,184.12 | 10 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $241.69 – $3,949.47 | 11 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $300.61 – $3,949.47 | 11 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $298.33 – $5,316.00 | 10 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $257.59 – $5,316.00 | 10 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $258.55 – $5,316.00 | 10 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $290.41 – $5,316.00 | 10 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $212.92 – $3,949.47 | 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.