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 |
|---|---|---|---|---|
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $1,624.37 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $1,624.37 | 8 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $50.28 – $1,496.00 | 9 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $293.08 – $1,496.00 | 9 |
| Fetal fibronectin CPT 82731 | $545.88 | $992.50 | $64.41 – $290.00 | 9 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $293.08 – $1,579.00 | 10 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $517.96 | $941.75 | $5.00 – $16.54 | 9 |
| Fetal hemoglobin rosette CPT 85461 | $128.56 | $233.75 | $7.00 – $20.03 | 9 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $41.34 | 9 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $63.31 – $4,386.82 | 4 |
| Fetal monitor w/report CPT 59050 | not published | not published | $75.52 – $4,386.82 | 3 |
| Fetal non stress test CPT 59025 | not published | not published | $29.19 – $1,496.00 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $170.16 – $1,496.00 | 9 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $293.08 – $1,579.00 | 10 |
| #_fet/norfentcnfrmur CPT 80354 | $169.40 | $308.00 | $35.46 – $35.46 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $10.00 – $11.17 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $319.14 | $580.25 | $7.00 – $21.79 | 9 |
| Fibrin degradation products CPT 85362 | not published | not published | $5.00 – $14.74 | 9 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $5.00 – $20.80 | 9 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $21.79 | 9 |
| Fibrinogen activity CPT 85384 | $565.68 | $1,028.50 | $6.00 – $20.80 | 9 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $26.60 | 9 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $6.00 – $33.13 | 9 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $16.50 | 9 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $16.50 | 9 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $12.00 – $36.79 | 9 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $7.00 – $21.79 | 9 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $5.00 – $13.97 | 9 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $3,707.42 – $14,934.65 | 8 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.32 – $0.63 | 9 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.01 – $1.96 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.35 – $0.69 | 9 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,032.29 – $4,246.62 | 11 |
| Filtered speech hearing test CPT 92571 | not published | not published | $35.92 – $76.88 | 8 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $37.80 – $80.89 | 8 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $9,277.34 | $16,867.90 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $6,278.91 | $11,416.20 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,257.83 – $4,386.82 | 3 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.16 – $0.26 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $136.67 – $1,579.00 | 10 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $79.12 – $1,496.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $65.96 – $1,496.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $545.57 | $991.95 | $76.36 – $1,496.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $83.55 – $1,496.00 | 9 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $648.61 – $648.61 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,366.59 – $6,734.39 | 11 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,594.00 – $6,734.39 | 11 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,014.88 – $4,386.82 | 3 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $27.48 – $121.42 | 8 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $37.30 – $121.42 | 8 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $143.24 – $172.52 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $20.09 – $76.88 | 8 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $31.11 – $76.88 | 8 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $35.22 – $35.22 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $27.48 – $27.48 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $39.88 – $39.88 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $72.27 – $1,496.00 | 9 |
| Fixation of ankle joint CPT 27860 | not published | not published | $249.82 – $6,734.39 | 11 |
| Fixation of knee joint CPT 27570 | not published | not published | $234.17 – $3,309.55 | 11 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,480.12 – $14,934.65 | 11 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $76.49 – $1,872.00 | 10 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,023.06 – $6,734.39 | 11 |
| Flebogamma injection HCPCS J1572 | not published | not published | $63.57 – $194.18 | 8 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $39.89 | 8 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $46.04 – $1,496.00 | 9 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,831.48 – $6,059.37 | 8 |
| Flex foot system HCPCS L5980 | not published | not published | $4,801.22 – $10,274.61 | 8 |
| Flexible keel foot HCPCS L5972 | not published | not published | $524.57 – $1,122.58 | 8 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $247.59 – $529.84 | 8 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $85.41 – $1,914.03 | 10 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $410.70 – $878.90 | 8 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,096.93 – $14,934.65 | 11 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,198.12 – $14,934.65 | 11 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $187.48 – $401.21 | 7 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,666.67 – $7,846.67 | 8 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $138.08 – $3,399.30 | 10 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,452.09 – $5,242.86 | 8 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $371.00 – $793.94 | 7 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $727.56 – $1,556.97 | 7 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $111.75 – $127.03 | 2 |
| Flow cytometry marker each additional CPT 88185 | $116.60 | $212.00 | $29.40 – $34.02 | 2 |
| Flow cytometry one marker technical component CPT 88184 | $931.70 | $1,694.00 | $112.05 – $737.75 | 8 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $189.00 – $304.52 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $104.91 – $233.39 | 9 |
| #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 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $30.83 – $30.83 | 1 |
| 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 |
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.