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 |
|---|---|---|---|---|
| Flow cytometry one marker technical component CPT 88184 | $931.70 | $1,694.00 | $112.05 – $737.75 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $81.93 – $93.52 | 2 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,396.49 – $8,573.16 | 9 |
| Flt3 gene CPT 81245 | not published | not published | $165.51 – $354.19 | 8 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $177.62 | 8 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $4.08 – $5.72 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $67.86 – $285.75 | 4 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $14.59 – $31.22 | 8 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $133.93 – $1,579.00 | 10 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $516.41 – $1,006.99 | 9 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $338.80 – $660.67 | 9 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $52.26 – $928.55 | 8 |
| Fluorescein angrph mltiframe CPT 92235 | $623.64 | $1,133.90 | $173.91 – $544.95 | 8 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $207.67 – $544.95 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $654.78 | $1,190.50 | $12.05 – $25.79 | 9 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $568.43 – $1,830.88 | 8 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $460.42 – $1,309.88 | 8 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $141.65 | $257.55 | $110.66 – $162.18 | 2 |
| Fluoroguide needle placement CPT 77002 | $223.58 | $406.51 | $128.87 – $179.05 | 2 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $40.47 | 9 |
| Fluoroscopy up to 1 hour CPT 76000 | $898.07 | $1,632.85 | $40.21 – $491.09 | 9 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $2.52 – $5.29 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $10.07 – $15.03 | 4 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,944.01 – $6,179.09 | 8 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $229.48 – $815.39 | 8 |
| Fmri brain by tech CPT 70554 | not published | not published | $229.48 – $491.09 | 8 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $165.66 – $1,579.00 | 10 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $110.87 – $1,496.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $489.91 – $1,579.00 | 10 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $278.08 – $1,496.00 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $40.47 | 9 |
| Folic acid CPT 82746 | $124.58 | $226.50 | $10.00 – $31.46 | 9 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.07 – $0.10 | 3 |
| Follow-up angiography CPT 75898 | $3,701.20 | $6,729.45 | $62.96 – $6,498.69 | 9 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $30.83 – $274.02 | 8 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $832.35 – $4,893.31 | 11 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.18 – $24.64 | 8 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.98 – $1.79 | 4 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $95.45 – $204.26 | 8 |
| Foot X-ray CPT 73630 | $1,137.95 | $2,069.00 | $37.81 – $179.11 | 9 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,459.00 – $7,293.65 | 11 |
| Forensic cytopathology CPT 88125 | not published | not published | $5.00 – $107.25 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $86.97 – $1,579.00 | 11 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.14 – $0.23 | 4 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $24.66 – $129.43 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $0.66 – $4.11 | 8 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $19.00 – $60.99 | 9 |
| Fracture assessment via dxa CPT 77086 | $289.97 | $527.21 | $36.86 – $179.11 | 8 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $96.06 | 8 |
| Fragmenting of kidney stone CPT 50590 | $8,932.06 | $16,240.10 | $874.02 – $8,185.00 | 10 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Frenectomy 41115 CPT 41115 | not published | not published | $221.24 – $3,193.45 | 10 |
| Frenotomy 40806 CPT 40806 | not published | not published | $44.25 – $1,496.00 | 9 |
| Frenulotomy of penis CPT 54164 | not published | not published | $296.36 – $4,302.40 | 11 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $364.10 | $662.00 | $73.77 – $157.87 | 7 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | not published | not published | $85.98 – $184.00 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $8.00 – $350.65 | 9 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $35.92 – $137.05 | 9 |
| Frozen blood prep CPT 86930 | not published | not published | $71.00 – $350.65 | 9 |
| Frozen blood thaw CPT 86931 | not published | not published | $78.00 – $350.65 | 9 |
| Frozen cell preparation CPT 88241 | not published | not published | $11.00 – $25.87 | 8 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $55.96 – $119.75 | 7 |
| Fructosamine glycated protein CPT 82985 | $18.70 | $34.00 | $11.00 – $35.87 | 9 |
| Ftl cgen abnor four anal CPT 81511 | $438.35 | $797.00 | $153.50 – $328.49 | 8 |
| Full field erg w/i&r CPT 92273 | not published | not published | $130.27 – $529.38 | 8 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $61.30 – $491.09 | 9 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,254.00 – $4,246.62 | 11 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $921.29 – $4,246.62 | 11 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $104.33 – $1,496.00 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,201.23 – $4,246.62 | 11 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $23.91 – $273.84 | 8 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.03 | 3 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.66 – $0.94 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,156.78 – $6,734.39 | 11 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,298.03 – $14,934.65 | 11 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,537.30 – $26,424.41 | 11 |
| Fusion of big toe joint CPT 28750 | not published | not published | $880.63 – $14,934.65 | 11 |
| Fusion of big toe joint CPT 28755 | not published | not published | $512.61 – $14,934.65 | 11 |
| Fusion of finger joint CPT 26860 | not published | not published | $919.37 – $6,734.39 | 11 |
| Fusion of finger tendons CPT 26471 | not published | not published | $993.04 – $6,734.39 | 11 |
| Fusion of finger tendons CPT 26474 | not published | not published | $979.54 – $3,309.55 | 11 |
| Fusion of foot bones CPT 28730 | not published | not published | $1,106.90 – $26,424.41 | 11 |
| Fusion of foot bones CPT 28735 | not published | not published | $1,187.12 – $26,424.41 | 11 |
| Fusion of foot bones CPT 28740 | not published | not published | $942.84 – $14,934.65 | 11 |
| Fusion of hand joint CPT 26843 | not published | not published | $1,179.40 – $14,934.65 | 11 |
| Fusion of knuckle CPT 26850 | not published | not published | $1,106.77 – $14,934.65 | 11 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $991.00 – $6,734.39 | 11 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,306.69 – $6,734.39 | 11 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,323.44 – $14,934.65 | 11 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $1,258.96 – $14,934.65 | 11 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,221.79 – $4,302.40 | 11 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,594.00 – $7,255.07 | 11 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,054.80 – $6,734.39 | 11 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $985.16 – $6,734.39 | 11 |
| Fusion of thumb CPT 26841 | not published | not published | $1,167.49 – $14,934.65 | 11 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,053.61 – $26,424.41 | 11 |
| Fusion of toes CPT 28280 | not published | not published | $529.23 – $6,734.39 | 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.