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 |
|---|---|---|---|---|
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $1,126.36 – $14,934.65 | 11 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,311.32 – $14,934.65 | 11 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $953.08 – $6,734.39 | 11 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $994.80 – $14,934.65 | 11 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $656.43 – $14,934.65 | 11 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $903.80 – $6,734.39 | 11 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $2,317.62 – $4,386.82 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $1,407.41 – $5,978.45 | 10 |
| Exc excessive skin hip CPT 15834 | not published | not published | $1,349.08 – $5,978.45 | 10 |
| Exc excessive skin leg CPT 15833 | not published | not published | $1,325.14 – $5,978.45 | 10 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $1,393.92 – $5,978.45 | 10 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $1,082.28 – $5,978.45 | 8 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $980.26 – $5,978.45 | 8 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $493.41 – $5,978.45 | 11 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $610.93 – $3,399.30 | 10 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $792.31 – $5,978.45 | 10 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $234.89 – $1,579.00 | 10 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $343.50 – $3,399.30 | 10 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $691.38 – $5,978.45 | 10 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $400.62 – $3,399.30 | 11 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $647.97 – $8,185.00 | 10 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $793.06 – $3,399.30 | 11 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $818.16 – $8,185.00 | 10 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $508.85 – $3,399.30 | 11 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $836.92 – $8,185.00 | 10 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $803.35 – $3,399.30 | 11 |
| Exchange biliary drg cath CPT 47536 | not published | not published | $197.71 – $8,185.00 | 10 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $260.55 – $1,579.00 | 10 |
| Exchange drainage catheter CPT 49423 | not published | not published | $106.60 – $3,949.47 | 9 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $1,350.66 – $5,136.00 | 11 |
| Exchange nephrostomy cath CPT 50435 | not published | not published | $149.80 – $4,302.40 | 10 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $377.00 – $5,978.45 | 11 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $533.76 – $5,978.45 | 11 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $434.61 – $5,978.45 | 11 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $933.37 – $5,978.45 | 11 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $1,117.18 – $8,185.00 | 10 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $109.44 – $412.94 | 8 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $96.63 – $412.94 | 8 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $176.31 – $836.68 | 8 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $1,008.58 – $6,535.00 | 10 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $532.93 – $5,978.45 | 11 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $1,060.97 – $8,185.00 | 10 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,594.00 – $4,246.62 | 11 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $1,075.02 – $5,978.45 | 11 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $1,401.53 – $5,978.45 | 11 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $1,410.83 – $7,293.65 | 11 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,411.00 – $4,246.62 | 11 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $184.52 – $2,462.91 | 11 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $1,524.73 – $6,734.39 | 9 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $535.06 – $6,734.39 | 11 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $449.24 – $6,734.39 | 11 |
| Excise inferior turbinate CPT 30130 | not published | not published | $622.08 – $6,823.84 | 11 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $2,538.47 – $14,934.65 | 10 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $2,074.00 – $14,934.65 | 10 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $2,226.36 – $14,934.65 | 10 |
| Excise lesion testis CPT 54512 | not published | not published | $822.70 – $7,255.07 | 11 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $301.71 – $3,193.45 | 11 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,254.00 – $12,184.12 | 11 |
| Excise mandible lesion CPT 21040 | not published | not published | $548.14 – $6,823.84 | 11 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $546.23 – $12,184.12 | 9 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,459.00 – $12,184.12 | 11 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $398.01 – $1,579.00 | 11 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $962.60 – $12,184.12 | 11 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,618.47 – $12,184.12 | 11 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,811.68 – $12,184.12 | 11 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $1,283.01 – $12,184.12 | 11 |
| Excise pharynx lesion CPT 42808 | not published | not published | $253.39 – $6,823.84 | 11 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $275.40 – $3,193.45 | 9 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excise sublingual gland CPT 42450 | not published | not published | $554.33 – $12,184.12 | 11 |
| Excise submaxillary gland CPT 42440 | not published | not published | $636.40 – $12,184.12 | 11 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $508.34 – $6,535.00 | 10 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $821.59 – $6,734.39 | 10 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $588.33 – $3,309.55 | 11 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $242.65 – $1,496.00 | 3 |
| Excision aural polyp CPT 69540 | not published | not published | $195.82 – $3,193.45 | 9 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $201.26 – $1,579.00 | 10 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $205.44 – $3,399.30 | 10 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $174.94 – $1,579.00 | 10 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,352.46 | $4,277.20 | $376.79 – $3,399.30 | 11 |
| Excision breast lesion CPT 19125 | not published | not published | $703.01 – $8,058.70 | 11 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $326.74 – $6,823.84 | 11 |
| Excision graft extremity CPT 35903 | not published | not published | $843.36 – $6,498.69 | 9 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Excision gum each quadrant CPT 41820 | not published | not published | $371.40 – $6,823.84 | 10 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $1,280.33 – $6,734.39 | 11 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $243.06 – $6,823.84 | 10 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $491.34 – $12,184.12 | 11 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $201.96 – $3,193.45 | 9 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $209.52 – $5,712.83 | 11 |
| Excision of gum flap CPT 41821 | not published | not published | $83.29 – $3,193.45 | 10 |
| Excision of gum lesion CPT 41822 | not published | not published | $303.63 – $3,193.45 | 9 |
| Excision of gum lesion CPT 41823 | not published | not published | $552.03 – $12,184.12 | 9 |
| Excision of gum lesion CPT 41826 | not published | not published | $293.93 – $6,823.84 | 9 |
| Excision of gum lesion CPT 41827 | not published | not published | $436.64 – $12,184.12 | 11 |
| Excision of gum lesion CPT 41828 | not published | not published | $336.12 – $3,193.45 | 9 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $183.47 – $6,823.84 | 9 |
| Excision of lesion of mesentery 44820 CPT 44820 | 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.