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 plngl fx pm cl CPT 26725 | $1,365.10 | $2,482.00 | $237.24 – $1,496.00 | 9 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.00 – $9.22 | 9 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $825.91 – $1,780.43 | 8 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $6.19 – $273.84 | 8 |
| Ghs ppd (tb intradermal) CPT 86580 | $16.50 | $30.00 | $8.00 – $59.53 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $7.00 – $20.67 | 9 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $12.01 | 9 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $10.00 – $30.71 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $28.30 – $121.42 | 8 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $9.00 – $26.22 | 9 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $247.46 – $247.46 | 1 |
| Ghs quinidine CPT 80194 | not published | not published | $10.00 – $31.24 | 9 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $129.66 – $1,496.00 | 9 |
| Ghs removal intranasal foreign body CPT 30300 | $245.90 | $447.10 | $127.96 – $1,496.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | $334.73 | $608.60 | $193.65 – $1,579.00 | 10 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $901.52 – $3,309.55 | 11 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $757.60 – $6,734.39 | 11 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $9.00 – $34.00 | 9 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.00 – $9.22 | 9 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $9.00 – $29.77 | 9 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.00 – $9.14 | 9 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $9.00 – $26.34 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $21.06 | 9 |
| Ghs sensitivity (per antimicro) CPT 87184 | $222.75 | $405.00 | $5.00 – $16.01 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $450.20 | $818.55 | $145.49 – $2,100.00 | 11 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $580.17 | $1,054.85 | $196.02 – $2,100.00 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $495.08 | $900.15 | $177.85 – $2,100.00 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $236.18 – $2,100.00 | 11 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $436.18 | $793.05 | $115.20 – $1,496.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $413.74 | $752.25 | $112.64 – $1,496.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $470.77 | $855.95 | $144.59 – $1,496.00 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $544.17 | $989.40 | $192.96 – $2,100.00 | 11 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $192.96 – $2,100.00 | 11 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $139.84 – $444.41 | 8 |
| Ghs somatosensory testing lower extremit CPT 95926 | $749.76 | $1,363.20 | $188.20 – $544.95 | 8 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $475.16 – $1,767.45 | 8 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $217.86 | $396.10 | $45.15 – $96.62 | 7 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $158.32 – $1,579.00 | 10 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $6.19 – $273.84 | 8 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $96.89 – $207.34 | 7 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $16.46 – $76.88 | 8 |
| Ghs strapping shoulder - 29240 CPT 29240 | $326.78 | $594.15 | $27.59 – $1,496.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $200.09 | $363.80 | $67.85 – $145.20 | 8 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $24.01 – $96.38 | 8 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $204.29 – $437.78 | 8 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,464.21 | $2,662.20 | $285.12 – $1,579.00 | 11 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $810.18 | $1,473.05 | $213.44 – $1,579.00 | 11 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,075.70 | $3,774.00 | $486.20 – $3,193.45 | 11 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $5.00 – $15.62 | 9 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $481.06 | $874.65 | $237.24 – $1,496.00 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $237.24 – $1,496.00 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $17.00 – $52.00 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | $451.55 | $821.00 | $10.00 – $31.48 | 9 |
| Ghs vaginal delivery only CPT 59409 | $4,024.35 | $7,317.00 | $1,218.41 – $6,662.61 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $631.12 | $1,147.50 | $358.89 – $1,323.67 | 8 |
| Ghs windowing of cast CPT 29730 | not published | not published | $68.07 – $1,496.00 | 9 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $29.13 | 9 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $10.00 – $31.50 | 9 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $82.52 – $491.09 | 9 |
| Gi inhouse confirmation CPT 87045 | $159.92 | $290.77 | $7.00 – $20.20 | 9 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $457.16 – $6,823.84 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $64.40 – $822.80 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $872.31 – $1,872.00 | 9 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $894.41 – $1,914.03 | 8 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $872.31 – $1,872.00 | 9 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $872.31 – $1,872.00 | 9 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $216.40 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $131.65 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $74.90 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $5.58 – $10.89 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $27.82 – $94.08 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $35.92 – $76.88 | 8 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,310.93 – $8,507.36 | 11 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,309.91 – $8,507.36 | 11 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,254.00 – $4,749.93 | 11 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,594.00 – $4,749.93 | 11 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $140.19 – $300.01 | 8 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $117.33 – $309.40 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $129.28 – $252.10 | 9 |
| Glucagon plasma - sendout CPT 82943 | $37.40 | $68.00 | $10.00 – $30.58 | 9 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $98.59 | 9 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $108.07 | 9 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.00 – $38.03 | 9 |
| Glucose 1 hr post dose CPT 82950 | $125.68 | $228.50 | $3.00 – $10.16 | 9 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.00 – $12.95 | 9 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $80.30 | $146.00 | $3.00 – $7.02 | 9 |
| Glucose blood quantitative CPT 82947 | $66.55 | $121.00 | $3.00 – $8.41 | 9 |
| Glucose body fluid CPT 82945 | $33.28 | $60.50 | $3.00 – $8.41 | 9 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $56.74 – $121.42 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $109.04 | $198.25 | $9.00 – $27.54 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $66.41 | $120.75 | $3.00 – $8.39 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.76 – $1.02 | 3 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $28.74 – $28.74 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.04 – $21.52 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $387.20 | $704.00 | $13.00 – $39.76 | 9 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $317.60 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $313.78 | $570.50 | $13.00 – $39.63 | 9 |
| Gonioscopy CPT 92020 | not published | not published | $30.88 – $273.84 | 8 |
| Goniotomy CPT 65820 | not published | not published | $991.00 – $8,507.36 | 11 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $803.86 – $1,128.23 | 4 |
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.