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 |
|---|---|---|---|---|
| Ghs elect torsion swing CPT 92546 | not published | not published | $123.75 – $273.81 | 8 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $12.47 – $12.47 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $107.85 – $1,496.00 | 9 |
| Ghs excision ingrown nail CPT 11765 | $429.16 | $780.30 | $140.91 – $1,496.00 | 9 |
| Ghs eye exam CPT 92002 | not published | not published | $69.28 – $274.02 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $633.60 | $1,152.00 | $175.91 – $1,496.00 | 9 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.00 – $10.38 | 9 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $475.62 – $3,399.30 | 11 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $374.98 – $5,978.45 | 11 |
| Ghs fb removal - incisional CPT 10121 | $2,791.44 | $5,075.35 | $278.90 – $3,399.30 | 11 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $224.12 – $3,399.30 | 10 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.00 – $14.94 | 9 |
| Ghs fish cytogen CPT 88271 | $127.05 | $231.00 | $21.42 – $45.84 | 9 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $175.72 | $319.50 | $51.19 – $109.55 | 9 |
| Ghs flow volume loop CPT 94375 | not published | not published | $35.91 – $544.95 | 8 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $32.96 – $1,579.00 | 10 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $75.09 | 9 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $12.00 – $49.16 | 9 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $11.00 – $33.15 | 9 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $6.00 – $20.27 | 9 |
| Ghs histoplasma antigen CPT 87385 | $203.22 | $369.50 | $9.00 – $28.36 | 9 |
| Ghs HIV antibody CPT 86703 | not published | not published | $10.00 – $29.34 | 9 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $46.00 – $227.14 | 9 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,222.03 | $4,040.05 | $325.54 – $4,302.40 | 11 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,539.93 | $4,618.05 | $644.75 – $2,891.00 | 11 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $259.47 – $1,496.00 | 9 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $770.44 | $1,400.80 | $158.70 – $1,496.00 | 9 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $26.00 – $64.03 | 9 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $577.36 | $1,049.75 | $166.94 – $1,579.00 | 10 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $191.98 – $2,100.00 | 11 |
| Ghs inf midline insertion CPT 36140 | $1,234.20 | $2,244.00 | $133.40 – $1,496.00 | 2 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $9.00 – $27.54 | 9 |
| Ghs init tx 1st degree burn CPT 16000 | $208.50 | $379.10 | $69.81 – $1,496.00 | 9 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $270.45 – $1,820.41 | 11 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $181.32 – $1,820.41 | 10 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $59.13 – $1,579.00 | 10 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $93.31 – $1,496.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $198.96 – $1,820.41 | 11 |
| Ghs insertion of needle - bone CPT 36680 | $341.28 | $620.50 | $90.93 – $1,496.00 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $754.08 | $1,371.05 | $364.82 – $2,100.00 | 11 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $774.18 | $1,407.60 | $426.98 – $2,100.00 | 11 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,604.93 | $2,918.05 | $496.40 – $4,246.62 | 11 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $13.91 – $1,496.00 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $329.12 | $598.40 | $205.15 – $1,579.00 | 11 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $202.40 | $368.00 | $27.31 – $96.38 | 8 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $658.43 – $658.43 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $534.60 | $972.00 | $658.43 – $658.43 | 1 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $684.75 | $1,245.00 | $658.43 – $658.43 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $317.68 – $1,579.00 | 10 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $366.52 | $666.40 | $232.25 – $2,100.00 | 11 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $537.62 | $977.50 | $228.23 – $1,496.00 | 9 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $536.69 | $975.80 | $219.67 – $1,496.00 | 9 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $479.19 | $871.25 | $255.79 – $1,496.00 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $500.22 | $909.50 | $301.43 – $1,496.00 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $643.75 | $1,170.45 | $295.78 – $1,496.00 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $527.81 | $959.65 | $325.51 – $1,496.00 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $703.59 | $1,279.25 | $310.45 – $2,100.00 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $702.65 | $1,277.55 | $324.46 – $2,100.00 | 11 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $551.65 | $1,003.00 | $334.13 – $2,100.00 | 11 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $770.91 | $1,401.65 | $412.99 – $2,100.00 | 11 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $697.04 | $1,267.35 | $390.97 – $2,100.00 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $479.58 – $2,100.00 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $899.00 | $1,634.55 | $390.97 – $2,100.00 | 11 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $532.60 – $4,246.62 | 11 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $390.97 – $2,100.00 | 11 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $145.75 | $265.00 | $6.00 – $18.40 | 9 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $14.09 – $20.37 | 2 |
| Ghs mbp CPT 83873 | $132.55 | $241.00 | $12.00 – $36.81 | 9 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $356.40 | $648.00 | $36.82 – $81.70 | 2 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $356.40 | $648.00 | $116.13 – $127.66 | 2 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $328.68 | $597.60 | $103.77 – $115.34 | 2 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $185.46 | $337.20 | $16.01 – $16.69 | 2 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $185.46 | $337.20 | $80.52 – $91.21 | 2 |
| Ghs musc test done w/n test comp CPT 95886 | $67.98 | $123.60 | $74.75 – $128.15 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $62.78 – $81.22 | 2 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $67.10 – $111.52 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $553.99 | $1,007.25 | $17.62 – $17.62 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $664.32 | $1,207.85 | $166.42 – $1,521.15 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $38.19 – $1,820.41 | 11 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $88.81 – $1,579.00 | 11 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $98.19 – $1,820.41 | 11 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $106.96 – $1,820.41 | 11 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $143.77 – $1,820.41 | 11 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $116.86 – $1,820.41 | 11 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $129.08 – $1,820.41 | 11 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $110.11 – $1,579.00 | 10 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $85.02 – $1,579.00 | 10 |
| Ghs ng placement w fluoro guidance CPT 43752 | $411.40 | $748.00 | $60.87 – $1,496.00 | 9 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.77 – $20.91 | 9 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $59.82 – $273.81 | 8 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $56.74 – $121.42 | 8 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $145.75 | $265.00 | $45.04 – $96.38 | 7 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $50.59 – $2,100.00 | 11 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $275.35 – $3,239.91 | 11 |
| Ghs optokenetic CPT 92544 | not published | not published | $5.22 – $273.81 | 8 |
| Ghs oscillating trac CPT 92545 | not published | not published | $5.22 – $544.95 | 8 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $20.77 – $44.44 | 8 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $20.77 – $53.35 | 8 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.50 – $33.17 | 8 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.13 – $33.41 | 7 |
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.