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 |
|---|---|---|---|---|
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.63 – $9.03 | 9 |
| Aluminum - quest CPT 82108 | not published | not published | $18.00 – $54.53 | 9 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $368.97 – $6,823.84 | 9 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $61.38 – $195.67 | 8 |
| Amantadine (symmetrel)-sendout CPT 80375 | $200.75 | $365.00 | $35.46 – $35.46 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $8.10 – $273.84 | 8 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.68 – $1.36 | 4 |
| Amino acid screen, urine CPT 82128 | not published | not published | $10.00 – $29.68 | 9 |
| Amino acid single qual CPT 82127 | not published | not published | $10.00 – $30.35 | 9 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $12.00 – $41.97 | 9 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.95 – $2.08 | 2 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.85 – $3.60 | 9 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $12.00 – $35.20 | 9 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $389.28 – $759.10 | 9 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $8.43 – $17.68 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.95 – $6.50 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.38 – $0.82 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | $121.55 | $221.00 | $35.46 – $35.46 | 1 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $3.68 – $3.68 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $23.22 – $45.28 | 9 |
| Ammonia CPT 82140 | $123.48 | $224.50 | $10.00 – $31.18 | 9 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $779.79 | $1,417.80 | $122.38 – $1,895.69 | 9 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $270.09 – $1,496.00 | 9 |
| Amniotic fluid scan CPT 82143 | not published | not published | $5.00 – $20.01 | 9 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $1,030.04 – $6,734.39 | 11 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $35.46 – $35.46 | 1 |
| Amphetamines 5 or more CPT 80326 | $118.80 | $216.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $15.67 – $80.11 | 4 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $11.74 – $17.77 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $19.84 – $43.79 | 9 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.68 – $1.66 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.79 – $2.91 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $562.80 | 7 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $645.27 – $6,734.39 | 11 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $1,077.20 – $6,734.39 | 8 |
| Amputate hand at wrist CPT 25922 | not published | not published | $982.72 – $3,309.55 | 11 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $1,148.63 – $6,734.39 | 11 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $1,188.50 – $9,166.00 | 8 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $871.23 – $6,734.39 | 11 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $940.84 – $6,734.39 | 11 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $1,046.65 – $14,934.65 | 9 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $916.50 – $4,246.62 | 11 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $1,202.23 – $6,734.39 | 9 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $764.99 – $6,734.39 | 11 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $876.13 – $6,734.39 | 11 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,360.93 – $14,934.65 | 8 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $981.97 – $6,734.39 | 8 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $973.03 – $14,934.65 | 11 |
| Amputation of lower leg CPT 27882 | not published | not published | $895.64 – $6,734.39 | 8 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $808.34 – $6,734.39 | 8 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $1,082.31 – $6,734.39 | 9 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $266.05 – $6,734.39 | 11 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $272.84 – $6,734.39 | 11 |
| Amylase CPT 82150 | $351.45 | $639.00 | $5.00 – $13.87 | 9 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $96.89 – $96.89 | 1 |
| Ana ds-dna CPT 86226 | not published | not published | $9.00 – $25.92 | 9 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $146.85 | $267.00 | $35.46 – $35.46 | 1 |
| Anal pressure record CPT 91122 | not published | not published | $273.02 – $1,496.00 | 3 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $40.21 – $1,496.00 | 9 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $240.30 – $1,579.00 | 11 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $78.58 – $195.67 | 8 |
| Analysis gene f2 20210g>a variant CPT 81240 | $450.86 | $819.75 | $65.69 – $140.58 | 8 |
| Analysis gene f5 leiden variant CPT 81241 | $517.82 | $941.50 | $73.37 – $157.01 | 8 |
| Analysis nerve CPT 88356 | not published | not published | $50.12 – $167.95 | 9 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $35.89 – $76.81 | 8 |
| Analysis tumor CPT 88358 | not published | not published | $102.00 – $350.65 | 9 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $59.39 – $195.67 | 8 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $75.09 | 8 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $15.05 – $32.21 | 9 |
| An cholangiogram percutaneous compl CPT 47531 | not published | not published | $105.79 – $7,369.13 | 10 |
| Androstanediol CPT 82154 | not published | not published | $20.00 – $61.70 | 9 |
| An fluoro guide for cvp CPT 77001 | $489.47 | $889.95 | $116.40 – $152.37 | 2 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $4,455.28 | $8,100.50 | $219.36 – $1,496.00 | 2 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $13,350.40 | $24,273.45 | $663.03 – $9,692.58 | 4 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $4,698.38 | $8,542.50 | $596.80 – $9,692.58 | 4 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $3,240.71 | $5,892.20 | $297.47 – $5,000.00 | 2 |
| Angiotensin ii CPT 82163 | not published | not published | $15.00 – $43.91 | 9 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $11,689.84 | $21,254.25 | $806.81 – $19,278.97 | 4 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,139.24 | $7,525.90 | $259.66 – $1,496.00 | 2 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $5,769.88 | $10,490.70 | $521.44 – $11,714.30 | 9 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,067.72 | $7,395.85 | $218.37 – $1,496.00 | 2 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $5,769.88 | $10,490.70 | $445.86 – $11,714.30 | 9 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.54 – $0.76 | 4 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $1,029.55 – $6,734.39 | 11 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $985.09 – $14,934.65 | 11 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $771.24 – $6,734.39 | 11 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $709.84 – $6,734.39 | 11 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $757.77 – $6,734.39 | 11 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $857.29 – $6,734.39 | 11 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,459.00 – $14,934.65 | 11 |
| Ankle X-ray CPT 73610 | $601.15 | $1,093.00 | $40.68 – $179.11 | 9 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $70.02 – $1,496.00 | 9 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $13.94 – $77.12 | 8 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $131.51 – $131.51 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $142.90 – $142.90 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $143.97 – $143.97 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $174.56 – $174.56 | 1 |
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.