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 |
|---|---|---|---|---|
| Herpes simplex type 2 antibody igg CPT 86696 | $229.90 | $418.00 | $19.35 – $44.00 | 9 |
| Herpes simplex virus isolation CPT 87255 | $669.77 | $1,217.76 | $24.00 – $72.46 | 9 |
| Heterophile antibodies screening CPT 86308 | $43.86 | $79.75 | $4.00 – $11.09 | 9 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $5.00 – $13.85 | 9 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $5.00 – $15.77 | 9 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $110.10 | 8 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | not published | not published | $103.43 – $221.34 | 8 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $103.43 – $221.34 | 8 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.00 – $13.89 | 9 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $23.00 – $124.12 | 9 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $41.76 – $89.37 | 8 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $82.90 – $82.90 | 1 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $48.21 – $48.21 | 1 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $342.90 – $3,309.55 | 8 |
| High activity knee frame HCPCS L5930 | not published | not published | $4,166.69 – $8,916.72 | 8 |
| High compres band w>=3"<5"yd HCPCS A6452 | not published | not published | $12.36 – $13.22 | 2 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $34.62 – $209.09 | 8 |
| Hinge extension/flex wrist/f HCPCS L3900 | not published | not published | $1,469.84 – $3,145.46 | 8 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $1,807.05 – $3,867.09 | 8 |
| Hip adj flex ext abduct cont HCPCS L2624 | not published | not published | $408.59 – $874.38 | 8 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $1,241.24 – $14,934.65 | 11 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $1,240.32 – $6,734.39 | 11 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,548.22 – $14,934.65 | 10 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $999.99 – $14,934.65 | 11 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $1,088.76 – $14,934.65 | 11 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,510.82 – $14,934.65 | 10 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,542.13 – $14,934.65 | 10 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $6,907.11 – $14,781.22 | 8 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $314.68 – $673.42 | 8 |
| Hip clevis/thrust bearing lo HCPCS L2610 | not published | not published | $372.09 – $796.27 | 8 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $729.78 – $1,561.73 | 8 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $7,091.52 – $15,175.85 | 8 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $4,929.43 – $10,548.98 | 8 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $5,443.57 – $11,649.24 | 8 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $1,460.97 – $3,126.48 | 8 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $2,049.39 – $4,385.69 | 8 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $469.85 – $1,005.48 | 8 |
| Hip X-ray CPT 73502 | $583.00 | $1,060.00 | $53.15 – $179.11 | 8 |
| Histamine CPT 83088 | $125.12 | $227.50 | $21.00 – $63.19 | 9 |
| Histochemical stains add-on CPT 88314 | not published | not published | $58.00 – $112.61 | 3 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $10.00 – $76.88 | 9 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $51.49 | 9 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $46.91 | 9 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $20.00 – $46.87 | 9 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $46.91 | 9 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $49.00 – $125.45 | 9 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $13.47 – $77.12 | 7 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.43 – $139.28 | 7 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.45 – $1.92 | 7 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.29 – $14.22 | 9 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.88 – $29.02 | 8 |
| Hkafo torsion ball bearing j HCPCS L2060 | not published | not published | $751.28 – $1,607.74 | 8 |
| Hkafo torsion bil rot straps HCPCS L2040 | not published | not published | $204.02 – $436.60 | 8 |
| Hkafo torsion cable hip pelv HCPCS L2050 | not published | not published | $649.33 – $1,389.57 | 8 |
| Hkafo torsion unilat rot str HCPCS L2070 | not published | not published | $155.70 – $333.20 | 8 |
| Hkafo unilat torsion ball br HCPCS L2090 | not published | not published | $535.22 – $1,145.37 | 8 |
| Hkafo unilat torsion cable HCPCS L2080 | not published | not published | $441.61 – $945.05 | 8 |
| Hla class i high defin qual CPT 86832 | not published | not published | $323.75 – $692.82 | 8 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $325.80 – $697.21 | 8 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $64.19 – $137.37 | 8 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $64.19 – $137.37 | 8 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $175.22 | 8 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $691.13 | 8 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $204.41 | 8 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $765.18 | 8 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.52 – $865.67 | 8 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $739.52 | 8 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $860.54 | 8 |
| Hla ii typing 1 loc hr CPT 81382 | $250.80 | $456.00 | $123.68 – $264.68 | 8 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $472.38 | 8 |
| Hla i low res one antigen equiv ea CPT 81374 | $90.75 | $165.00 | $74.33 – $159.07 | 8 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $379.32 | 8 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $717.71 | 8 |
| Hla i typing complete lr CPT 81372 | not published | not published | $403.59 – $863.68 | 8 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $187.00 | $340.00 | $169.90 – $363.59 | 8 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.43 – $272.70 | 8 |
| Hla typing a b or c CPT 86813 | not published | not published | $41.00 – $124.12 | 9 |
| Hla typing dr/dq CPT 86816 | not published | not published | $20.00 – $64.56 | 9 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $78.17 | 8 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $234.31 | 8 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $7.11 – $7.60 | 2 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $97.71 – $209.09 | 8 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $36.04 – $98.47 | 8 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | not published | not published | $40.42 – $40.42 | 1 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | not published | not published | $112.40 – $112.40 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $14.67 – $77.12 | 8 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $93.08 – $365.32 | 8 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $9.83 – $10.51 | 2 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $280.40 – $600.06 | 8 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $262.21 – $561.13 | 8 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $440.44 – $942.54 | 8 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.30 – $0.30 | 1 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.33 – $0.46 | 4 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.25 – $0.35 | 4 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $197.44 – $422.52 | 8 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $153.96 – $329.47 | 8 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $52.32 – $111.96 | 8 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $4.65 – $4.98 | 2 |
| Home health care supervision CPT 99374 | not published | not published | $82.83 – $82.83 | 1 |
| Home health care supervision CPT 99375 | not published | not published | $129.53 – $129.53 | 1 |
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.