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 |
|---|---|---|---|---|
| Excursion amplifier lever ty HCPCS L6642 | not published | not published | $284.29 – $608.38 | 8 |
| Excursion amplifier pulley t HCPCS L6641 | not published | not published | $238.81 – $511.05 | 8 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $286.65 – $6,662.61 | 11 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $1.75 – $3.83 | 2 |
| Exercise tst brncspsm w/ecg CPT 94617 | not published | not published | $83.26 – $273.84 | 8 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $56.74 – $121.42 | 8 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $188.76 – $1,496.00 | 2 |
| Exhaled breath condensate CPT 83987 | not published | not published | $3.58 – $7.66 | 8 |
| Exome re-evaluation CPT 81417 | not published | not published | $320.00 – $684.80 | 7 |
| Exome sequence analysis CPT 81415 | not published | not published | $4,780.00 – $10,229.20 | 8 |
| Exome sequence analysis CPT 81416 | not published | not published | $12,000.00 – $25,680.00 | 8 |
| Exoskeletal ak ultra-light m HCPCS L5790 | not published | not published | $1,173.68 – $2,511.68 | 8 |
| Exoskeletal axial rotation u HCPCS L5982 | not published | not published | $766.26 – $1,639.80 | 8 |
| Exoskeletal bk ultralt mater HCPCS L5785 | not published | not published | $709.19 – $1,517.67 | 8 |
| Exoskel hip ultra-light mate HCPCS L5795 | not published | not published | $1,752.61 – $3,750.59 | 8 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $204.46 – $6,823.84 | 10 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | not published | not published | $1,202.18 – $1,202.18 | 1 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $3,869.60 | $7,035.63 | not published | 0 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $1,168.10 – $4,386.82 | 4 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $661.99 – $4,386.82 | 3 |
| Exploration for testis CPT 54550 | not published | not published | $752.72 – $7,369.13 | 11 |
| Exploration for testis CPT 54560 | not published | not published | $1,050.44 – $4,302.40 | 9 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $775.01 – $12,184.12 | 11 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $273.72 – $7,673.63 | 11 |
| Exploration of ankle joint CPT 27612 | not published | not published | $874.91 – $6,734.39 | 11 |
| Exploration of bile ducts CPT 47700 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $763.24 – $4,386.82 | 3 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $1,188.66 – $4,386.82 | 3 |
| Exploration of foot joint CPT 28020 | not published | not published | $558.34 – $6,734.39 | 11 |
| Exploration of foot joint CPT 28022 | not published | not published | $501.78 – $6,734.39 | 11 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $713.21 – $12,184.12 | 11 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $1,248.45 – $12,184.12 | 11 |
| Exploration of knee joint CPT 27310 | not published | not published | $1,118.20 – $6,734.39 | 11 |
| Exploration of middle ear CPT 69440 | not published | not published | $1,043.83 – $6,823.84 | 11 |
| Exploration of sinuses CPT 31090 | not published | not published | $1,662.05 – $12,184.12 | 11 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $1,250.55 – $14,934.65 | 8 |
| Exploration of toe joint CPT 28024 | not published | not published | $472.61 – $3,309.55 | 11 |
| Exploration of ureter CPT 50600 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exploration/repair of rectum CPT 45562 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $1,401.50 – $13,324.34 | 8 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Expl orbit w/removal lesion CPT 61333 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $1,459.00 – $8,091.55 | 11 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $1,755.00 – $8,091.55 | 11 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $798.39 – $12,442.83 | 11 |
| Explore/drain eye socket CPT 67405 | not published | not published | $1,347.11 – $4,893.31 | 11 |
| Explore/drain eye socket CPT 67440 | not published | not published | $1,755.00 – $8,091.55 | 11 |
| Explore epididymis CPT 54865 | not published | not published | $551.26 – $7,255.07 | 11 |
| Explore inner ear CPT 69805 | not published | not published | $1,562.74 – $12,184.12 | 11 |
| Explore inner ear CPT 69806 | not published | not published | $1,397.11 – $12,184.12 | 11 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $174.93 – $1,496.00 | 9 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $1,262.21 – $6,498.69 | 9 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $1,108.06 – $11,452.76 | 8 |
| Explore parathyroid glands CPT 60500 | not published | not published | $1,476.41 – $12,184.12 | 9 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $2,923.74 | $5,315.90 | $524.40 – $3,399.30 | 10 |
| Explore/repair chest 32110 CPT 32110 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Explore scrotum CPT 55110 | not published | not published | $593.90 – $7,255.07 | 11 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $685.74 – $6,734.39 | 11 |
| Explore/treat eye socket CPT 67412 | not published | not published | $1,471.37 – $5,316.00 | 11 |
| Explore/treat eye socket CPT 67420 | not published | not published | $1,755.00 – $8,091.55 | 11 |
| Explore/treat eye socket CPT 67430 | not published | not published | $1,755.00 – $8,091.55 | 11 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $1,434.72 – $5,316.00 | 11 |
| Explore/treat finger joint CPT 26075 | not published | not published | $519.62 – $6,734.39 | 11 |
| Explore/treat finger joint CPT 26080 | not published | not published | $611.57 – $3,359.00 | 11 |
| Explore/treat knee joint CPT 27331 | not published | not published | $730.72 – $6,734.39 | 11 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $623.33 – $6,734.39 | 11 |
| Explore wound abdomen 20102 CPT 20102 | $2,126.19 | $3,865.80 | $388.73 – $4,246.62 | 9 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $317.35 – $4,246.62 | 9 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $518.71 – $1,579.00 | 10 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $623.00 – $4,386.82 | 3 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $614.57 – $4,386.82 | 3 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $2,172.42 – $8,091.55 | 9 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $1,755.00 – $8,091.55 | 11 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $504.35 – $4,386.82 | 3 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $193.42 – $4,386.82 | 3 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $650.27 – $3,309.55 | 11 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $394.43 – $3,399.30 | 9 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $515.37 – $3,399.30 | 10 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $268.31 – $574.18 | 8 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $35.26 – $35.43 | 2 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $127.96 – $321.50 | 8 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $393.61 – $411.67 | 2 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $38.90 – $39.08 | 2 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $127.96 – $337.32 | 8 |
| Extended culture of oocytes CPT 89272 | not published | not published | $774.88 – $1,658.24 | 7 |
| Extended steel shank HCPCS L2360 | not published | not published | $79.27 – $169.64 | 8 |
| Extended visual field xm CPT 92083 | not published | not published | $53.15 – $273.84 | 8 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $6.66 – $7.13 | 2 |
| Extension per extension per HCPCS L2760 | not published | not published | $93.09 – $199.21 | 8 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $1,459.00 – $12,184.12 | 11 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,411.00 – $6,734.39 | 11 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,821.78 – $12,184.12 | 8 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,886.18 – $12,184.12 | 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.