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 |
|---|---|---|---|---|
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $70.04 – $107.11 | 2 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $70.04 – $84.33 | 2 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $1,013.65 | $1,843.00 | $139.92 – $139.92 | 1 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $200.84 – $3,309.55 | 11 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $537.79 – $1,579.00 | 10 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $286.22 – $1,496.00 | 2 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $482.53 – $1,579.00 | 10 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $75.64 – $1,496.00 | 2 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $265.30 – $1,496.00 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $172.87 – $1,117.53 | 9 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $139.00 – $822.80 | 8 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $266.27 – $822.80 | 9 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $234.65 – $1,117.53 | 9 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $501.42 – $2,664.63 | 9 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $199.15 – $1,496.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $354.35 – $1,433.48 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $585.60 – $1,433.48 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $669.85 – $1,433.48 | 8 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $280.60 – $793.83 | 8 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $370.95 – $793.83 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $2,949.11 | $5,362.01 | $168.70 – $445.05 | 8 |
| Head CT scan (with contrast) CPT 70460 | $2,949.11 | $5,362.01 | $142.27 – $445.05 | 8 |
| Head CT scan (without contrast) CPT 70450 | $974.15 | $1,771.19 | $99.16 – $265.85 | 8 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,454.28 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $3,477.50 | 7 |
| Heart first pass add-on CPT 78496 | not published | not published | $27.27 – $124.00 | 3 |
| Heart first pass multiple CPT 78483 | not published | not published | $222.18 – $1,117.53 | 9 |
| Heart image spect CPT 78494 | not published | not published | $226.50 – $822.80 | 9 |
| Heart infarct image CPT 78466 | not published | not published | $194.39 – $822.80 | 9 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $210.68 – $1,117.53 | 9 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $197.26 – $4,386.82 | 3 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $126.38 – $270.45 | 8 |
| Heavy metal qual any number CPT 83015 | not published | not published | $13.00 – $44.81 | 9 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $94.30 – $201.80 | 7 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.00 – $8.99 | 9 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $14.59 | 9 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $10.00 – $36.06 | 9 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $119.69 – $2,193.36 | 9 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $6.00 – $17.53 | 9 |
| Hematocrit CPT 85014 | $56.92 | $103.50 | $2.37 – $5.07 | 9 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $145.03 – $751.00 | 9 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $731.00 – $1,496.00 | 2 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,027.52 – $6,734.39 | 11 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $35.82 – $69.85 | 9 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $7,144.39 – $15,288.99 | 8 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $7,400.44 – $15,836.94 | 8 |
| Hemodialysis access study CPT 90940 | not published | not published | $60.05 – $60.05 | 1 |
| Hemodialysis one evaluation CPT 90935 | $1,570.33 | $2,855.15 | $108.93 – $1,412.56 | 8 |
| Hemodialysis repeated eval CPT 90937 | $986.89 | $1,794.35 | $156.55 – $156.55 | 1 |
| Hemoglobin CPT 85018 | $40.29 | $73.25 | $2.37 – $5.07 | 9 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.00 – $8.58 | 9 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $4.00 – $17.12 | 9 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.00 – $22.98 | 9 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $93.50 | $170.00 | $5.00 – $17.55 | 9 |
| Hemoglobin-oxygen affinity CPT 82820 | $14.85 | $27.00 | $11.00 – $28.55 | 9 |
| Hemoglobin plasma CPT 83051 | $95.70 | $174.00 | $5.00 – $15.64 | 9 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $8.00 – $19.26 | 9 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $8.45 | 9 |
| Hemolysin acid CPT 85475 | not published | not published | $6.00 – $18.98 | 9 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $6.00 – $18.77 | 9 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $9.00 – $25.92 | 9 |
| Hemoperfusion CPT 90997 | not published | not published | $123.40 – $134.91 | 2 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $11.00 – $33.90 | 9 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $670.17 – $6,535.00 | 10 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $290.30 – $1,914.03 | 10 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $592.04 – $6,535.00 | 11 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $65.61 – $127.94 | 9 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $65.61 – $150.55 | 9 |
| Heparin assay CPT 85520 | $110.96 | $201.75 | $9.00 – $28.01 | 9 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.25 – $0.44 | 4 |
| Heparin neutralization CPT 85525 | $59.95 | $109.00 | $11.84 – $25.34 | 9 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.02 – $0.03 | 4 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $28.01 | 9 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Hepatitis a antibody igm CPT 86709 | $190.85 | $347.00 | $8.00 – $24.10 | 9 |
| Hepatitis b core antibody igm CPT 86705 | $216.15 | $393.00 | $8.00 – $25.19 | 9 |
| Hepatitis b core antibody total CPT 86704 | $204.32 | $371.50 | $9.00 – $25.79 | 9 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $136.95 – $267.06 | 9 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $22.04 – $54.18 | 8 |
| Hepatitis b surface antibody CPT 86706 | $300.85 | $547.00 | $8.00 – $22.98 | 9 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $160.46 – $231.18 | 4 |
| Hepatitis c antibody CPT 86803 | $241.72 | $439.50 | $10.00 – $30.54 | 9 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $23.00 – $66.81 | 9 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $91.68 | 7 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $39.26 – $84.02 | 8 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $14.00 – $63.77 | 8 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $41.76 – $89.37 | 8 |
| Hepatobiliary system imaging CPT 78226 | $1,918.81 | $3,488.75 | $376.92 – $822.80 | 8 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $84.15 – $121.25 | 4 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $187.44 – $263.08 | 4 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $855.86 – $2,790.45 | 8 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $855.86 – $855.86 | 1 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $642.14 – $2,790.45 | 7 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $1,279.53 | 8 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $642.14 – $642.14 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $796.33 – $7,369.13 | 11 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $9.00 – $25.64 | 9 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $9.00 – $25.64 | 9 |
| Herpes simplex type 1 antibody igg CPT 86695 | $111.79 | $203.25 | $13.19 – $29.00 | 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.