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 |
|---|---|---|---|---|
| Gastroesophageal reflux test CPT 91034 | not published | not published | $205.02 – $1,496.00 | 9 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $40.06 – $52.64 | 2 |
| Gastroplasty duodenal switch CPT 43845 | 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 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $5.09 – $5.44 | 2 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $5.43 – $5.81 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $4.47 – $4.78 | 2 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $2.00 – $2.14 | 2 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $7.55 – $8.06 | 2 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $101.12 | 8 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $73.95 – $158.25 | 7 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $87.67 – $187.61 | 7 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $102.65 – $219.67 | 7 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $54.86 – $117.40 | 7 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $62.65 – $134.07 | 7 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $72.13 – $154.36 | 7 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $97.86 – $209.42 | 7 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $116.68 – $249.70 | 7 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $138.21 – $295.77 | 7 |
| Gefitinib oral HCPCS J8565 | not published | not published | $147.22 – $230.90 | 2 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $78.14 – $167.22 | 8 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.70 – $5.78 | 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 counseling 30 min CPT 96040 | not published | not published | $74.11 – $74.11 | 1 |
| 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 re-evaluation CPT 81427 | not published | not published | $2,337.65 – $5,002.57 | 8 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $10,766.77 | 8 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $5,799.29 | 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 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $216.42 – $1,496.00 | 2 |
| 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 |
| 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 |
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.