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 |
|---|---|---|---|---|
| G0180 home health certification HCPCS G0180 | not published | not published | $80.88 – $80.88 | 1 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $125.17 | 8 |
| G6pd full gene sequence CPT 81249 | $1,320.00 | $2,400.00 | $600.00 – $1,284.00 | 7 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $374.09 | 7 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $803.04 | 7 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $923.05 | $1,678.27 | $252.81 – $252.81 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $106.21 | 8 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.30 – $0.56 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.70 – $2.50 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.14 – $0.21 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $16.77 – $24.21 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $15.00 – $45.09 | 9 |
| Galactokinase - sendout CPT 82759 | not published | not published | $15.00 – $45.97 | 9 |
| Galactose transferase test CPT 82776 | not published | not published | $6.00 – $25.12 | 9 |
| Galectin-3 CPT 82777 | $78.79 | $143.25 | $44.25 – $94.70 | 8 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,004.87 – $12,442.83 | 10 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $1,296.43 | 8 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $1,324.08 | 8 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $1,760.10 | 8 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $1,542.90 | 8 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $162.52 – $833.17 | 9 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.87 – $95.30 | 9 |
| Gammaglobulin iga CPT 82784 | $78.79 | $143.25 | $9.30 – $19.90 | 9 |
| Gammaglobulin ige CPT 82785 | $139.42 | $253.50 | $16.46 – $35.22 | 9 |
| Gamma glutamyltransferase CPT 82977 | $61.05 | $111.00 | $5.00 – $15.41 | 9 |
| Gammaplex injection HCPCS J1557 | not published | not published | $65.53 – $129.23 | 9 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.01 – $95.58 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $36.58 – $73.78 | 4 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $89.37 | 8 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $14.36 | 8 |
| Gastric emptying imag study CPT 78265 | not published | not published | $384.49 – $822.80 | 8 |
| Gastric emptying imag study CPT 78266 | not published | not published | $517.72 – $1,117.53 | 8 |
| Gastric motility studies CPT 91020 | not published | not published | $295.06 – $1,496.00 | 9 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $226.93 – $822.80 | 9 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $37.86 | 9 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $279.64 – $822.80 | 9 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $205.02 – $1,496.00 | 9 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $872.31 – $1,872.00 | 9 |
| Gated heart multiple CPT 78473 | not published | not published | $288.75 – $822.80 | 9 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $101.12 | 8 |
| Gel-one HCPCS J7326 | not published | not published | $533.59 – $1,040.50 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $1.14 | 9 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.40 – $6.00 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $247.37 – $482.37 | 9 |
| General health panel CPT 80050 | $800.11 | $1,454.75 | $23.00 – $57.98 | 3 |
| Generator emblem MRI sicd subq HCPCS C1722 | $55,581.28 | $101,056.88 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $5,239.92 | 8 |
| Genioplasty augmentation CPT 21120 | not published | not published | $759.57 – $12,184.12 | 10 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,272.95 – $6,823.84 | 10 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $804.56 – $6,823.84 | 10 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,122.99 – $12,184.12 | 10 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $10,766.77 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.82 – $4.42 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $138.74 | $252.25 | $12.00 – $35.05 | 9 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.81 – $9.47 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $539.02 – $1,767.45 | 9 |
| Ghs abscess perianal iandd CPT 46050 | $983.62 | $1,788.40 | $153.38 – $1,914.03 | 11 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,912.52 | $5,295.50 | $269.63 – $5,978.45 | 11 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $5.00 – $20.99 | 9 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $101.20 | $184.00 | $11.00 – $36.62 | 9 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $218.84 | 8 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $27.81 – $273.84 | 8 |
| Ghs antibodies (torch) igm CPT 86694 | $61.05 | $111.00 | $14.39 – $30.79 | 9 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $59.74 – $1,496.00 | 9 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $116.16 – $1,579.00 | 10 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $3.00 – $10.31 | 9 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $83.08 – $1,579.00 | 10 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $129.48 – $6,498.69 | 11 |
| Ghs change cysto/gastrost CPT 43762 | $408.60 | $742.90 | $56.99 – $1,579.00 | 10 |
| Ghs chemo >8 hrs CPT 96416 | $781.66 | $1,421.20 | $183.99 – $679.83 | 8 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $242.53 – $679.83 | 8 |
| Ghs chemo IV push, ea addtl CPT 96411 | $115.47 | $209.95 | $69.25 – $148.19 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $297.41 | $540.75 | $35.09 – $75.09 | 8 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $469.84 | $854.25 | $237.24 – $1,496.00 | 9 |
| Ghs closed reduction ankle dislocation CPT 27840 | $275.36 | $500.65 | $237.24 – $1,579.00 | 11 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,726.01 | $3,138.20 | $662.47 – $3,309.55 | 11 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $237.24 – $1,579.00 | 11 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,702.62 | $4,913.85 | $754.94 – $3,309.55 | 11 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,206.71 – $7,293.65 | 11 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $237.24 – $1,579.00 | 11 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,294.96 | $4,172.65 | $681.92 – $3,309.55 | 11 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $758.72 – $3,309.55 | 11 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $255.72 | $464.95 | $237.24 – $1,579.00 | 11 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $371.66 | $675.75 | $237.24 – $1,496.00 | 9 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $30.31 – $64.86 | 7 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $54.25 – $1,496.00 | 9 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $453.75 | $825.00 | $43.95 – $1,496.00 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $453.75 | $825.00 | $62.73 – $1,496.00 | 9 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $453.75 | $825.00 | $76.11 – $1,496.00 | 9 |
| Ghs cricothyroidotomy CPT 31605 | $486.20 | $884.00 | $227.80 – $1,579.00 | 10 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $60.07 – $1,496.00 | 9 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $72.57 – $1,496.00 | 9 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $11.00 – $32.55 | 9 |
| Ghs dislocation elbow closed treatment CPT 24600 | $501.16 | $911.20 | $237.24 – $1,579.00 | 11 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $161.74 – $1,872.00 | 10 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $50.36 – $1,496.00 | 9 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $158.71 – $1,579.00 | 10 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $342.21 | $622.20 | $207.67 – $444.41 | 8 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $13.37 – $273.81 | 8 |
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.