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 |
|---|---|---|---|---|
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,933.00 – $12,184.12 | 11 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive removal of liver CPT 47122 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive sternum surgery CPT 21632 | not published | not published | $1,833.08 – $4,386.82 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,518.44 – $12,184.12 | 9 |
| Extensive surgery of throat CPT 42844 | not published | not published | $2,071.16 – $12,184.12 | 9 |
| Extensive surgery of throat CPT 42845 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $1,137.27 – $7,255.07 | 9 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,074.00 – $4,386.82 | 3 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,191.83 – $9,166.00 | 3 |
| External cannula declotting CPT 36860 | not published | not published | $165.86 – $3,239.91 | 11 |
| External chromosome analysis 20-25 cells CPT 88264 | $528.14 | $960.25 | $144.61 – $309.47 | 8 |
| External ocular photography CPT 92285 | not published | not published | $29.19 – $76.88 | 8 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $6.00 – $59.53 | 9 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $8,288.22 | 8 |
| External recharg sys extern HCPCS L8695 | not published | not published | $20.61 – $44.11 | 8 |
| External recharg sys intern HCPCS L8689 | not published | not published | $2,135.37 – $4,569.69 | 8 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $535.15 | $973.00 | $143.75 – $307.62 | 8 |
| Extnd color vision xm CPT 92283 | not published | not published | $56.74 – $121.42 | 8 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $304.01 | $552.75 | $13.00 – $38.37 | 9 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $101.41 – $1,330.59 | 7 |
| Extraction of lens CPT 66930 | not published | not published | $1,283.29 – $8,507.36 | 11 |
| Extraction of lens CPT 66940 | not published | not published | $1,173.93 – $5,316.00 | 11 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,120.86 – $4,749.93 | 11 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $127.96 – $1,579.00 | 9 |
| Eye allergy tests CPT 95060 | not published | not published | $56.50 – $273.84 | 8 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $41.41 – $1,496.00 | 2 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $231.97 – $1,594.00 | 3 |
| Eye suture during surgery CPT 67335 | not published | not published | $281.49 – $1,594.00 | 3 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $375.36 | 7 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $605.36 | 8 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $400.00 – $589.74 | 2 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,825.64 – $5,350.35 | 8 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $306.00 – $898.78 | 8 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $424.68 – $424.68 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,284.00 | 7 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $461.21 – $986.99 | 8 |
| Face bone graft CPT 21210 | not published | not published | $1,153.36 – $12,184.12 | 11 |
| Facial bones <3 CPT 70140 | $596.89 | $1,085.25 | $32.54 – $179.11 | 9 |
| Facial nerve function test CPT 92516 | not published | not published | $34.51 – $544.95 | 8 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,189.00 – $6,823.84 | 9 |
| Factor ix CPT 85250 | $322.71 | $586.75 | $13.00 – $40.75 | 9 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.71 – $7.24 | 9 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.75 – $3.41 | 9 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.51 – $10.74 | 9 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.40 – $2.74 | 9 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.67 – $9.11 | 9 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.72 – $3.35 | 9 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.86 – $3.63 | 9 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.19 – $4.28 | 9 |
| Factor viii CPT 85240 | $303.46 | $551.75 | $13.00 – $38.31 | 9 |
| Factor viii HCPCS J7190 | not published | not published | $1.25 – $2.43 | 9 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.58 – $5.03 | 9 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.22 – $2.38 | 9 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.12 – $4.13 | 9 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.58 – $3.08 | 9 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.44 – $2.81 | 9 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.24 – $6.31 | 9 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $11.24 – $21.91 | 9 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $19.11 – $37.27 | 9 |
| Fallopian tube recnl CPT 58345 | not published | not published | $442.59 – $6,662.61 | 9 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $36.04 – $77.12 | 7 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $154.35 – $365.32 | 7 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $161.23 – $365.32 | 8 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.01 | 3 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $32.87 – $64.10 | 9 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $78.37 | 8 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,412.04 – $6,734.39 | 8 |
| Fat/lipids feces qualitative CPT 82705 | $86.35 | $157.00 | $4.00 – $10.91 | 9 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $9.00 – $40.17 | 9 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $206.61 – $442.15 | 8 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $9.76 | 9 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $65.60 – $127.93 | 9 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $107.39 – $1,914.03 | 8 |
| #fecal-sodium CPT 84302 | $82.36 | $149.75 | $3.00 – $10.40 | 9 |
| Feeding tube reposition CPT 74355 | not published | not published | $121.59 – $144.00 | 3 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $56.82 – $62.40 | 2 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $77.56 – $316.60 | 8 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $18.64 – $39.89 | 8 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $5,101.97 – $10,918.22 | 8 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $351.35 – $4,386.82 | 3 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $76.56 – $163.84 | 8 |
| Fem/popl revasc w/stent CPT 37226 | $19,093.17 | $34,714.85 | $773.37 – $19,278.97 | 4 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $21.87 – $23.39 | 2 |
| Feno poc CPT 95012 | not published | not published | $27.27 – $76.88 | 8 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $0.96 – $1.59 | 4 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $20.84 | 8 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.13 – $2.21 | 9 |
| Ferritin CPT 82728 | $231.06 | $420.11 | $10.00 – $29.17 | 9 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.37 – $0.72 | 9 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.37 – $0.72 | 9 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $1,701.30 | 8 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $467.50 | $850.00 | $99.55 – $215.17 | 9 |
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.