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 |
|---|---|---|---|---|
| Application of long leg cast 29345 CPT 29345 | not published | not published | $149.91 – $1,496.00 | 9 |
| Application of paste boot 29580 CPT 29580 | $604.94 | $1,099.90 | $40.31 – $1,496.00 | 9 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $88.96 – $1,496.00 | 9 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,610.30 | $4,746.00 | $142.67 – $3,109.69 | 10 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,610.30 | $4,746.00 | $127.67 – $3,109.69 | 10 |
| Appl long leg cast brace CPT 29358 | not published | not published | $156.15 – $1,496.00 | 9 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,459.00 – $26,424.41 | 11 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $5.54 – $11.86 | 8 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $120.62 | $219.30 | $11.34 – $24.27 | 8 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $35.92 – $76.88 | 6 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $24.05 – $1,496.00 | 9 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $130.99 – $1,496.00 | 9 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $908.73 – $14,934.65 | 11 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $74.73 – $1,496.00 | 9 |
| Apply forearm splintdynamic 29126 CPT 29126 | $163.16 | $296.65 | $74.96 – $1,496.00 | 9 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $731.00 – $3,309.55 | 8 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $102.18 – $1,496.00 | 9 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $666.86 – $1,706.00 | 9 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $434.00 – $1,433.48 | 9 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $364.29 – $1,156.94 | 9 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $317.41 – $1,156.94 | 9 |
| Apply of finger splint 29131 CPT 29131 | $127.16 | $231.20 | $52.69 – $1,496.00 | 9 |
| Apply rem fixation device CPT 20660 | not published | not published | $363.11 – $3,309.55 | 9 |
| Apply rigid leg cast 29445 CPT 29445 | $494.62 | $899.30 | $150.96 – $1,496.00 | 9 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $82.39 – $1,496.00 | 9 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $98.13 – $219.00 | 9 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,771.67 – $55,846.90 | 10 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,093.00 – $6,535.00 | 10 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,872.00 – $4,246.62 | 8 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,872.00 – $4,246.62 | 8 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.59 – $3.10 | 9 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.09 – $75.09 | 8 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $455.40 | $828.00 | $37.73 – $80.74 | 8 |
| Aquaporin-4 antibody cba each CPT 86052 | $400.40 | $728.00 | $12.05 – $25.79 | 8 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $24.67 | 8 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $34.78 – $74.43 | 8 |
| Aquatic exercise - group charge CPT 97150 | $72.93 | $132.60 | $17.10 – $36.59 | 8 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,704.55 – $10,952.24 | 11 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,617.04 – $10,952.24 | 10 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.82 – $3.88 | 8 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.53 – $6.60 | 4 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.86 – $5.75 | 9 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $3.56 – $6.94 | 9 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $1.41 – $1.41 | 1 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $5.46 – $25.92 | 4 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Arterial blood draw/perc 36620 CPT 36620 | $549.31 | $998.75 | $67.79 – $1,496.00 | 2 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Artery to vein shunt CPT 36835 | not published | not published | $726.84 – $6,498.69 | 11 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $996.34 – $11,452.76 | 11 |
| Artery xray each vessel 7577426 CPT 75774 | $2,210.57 | $4,019.22 | $73.27 – $686.00 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $6,169.60 | $11,217.45 | $111.58 – $11,452.76 | 9 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $143.64 – $6,498.69 | 9 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $161.33 – $6,498.69 | 9 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,062.12 | $5,567.50 | $99.11 – $6,498.69 | 9 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $6,124.25 | $11,135.00 | $103.43 – $6,498.69 | 9 |
| Artery x-rays chest CPT 75756 | $3,701.20 | $6,729.45 | $159.93 – $6,498.69 | 9 |
| Artery x-rays lung CPT 75741 | $2,908.78 | $5,288.70 | $101.51 – $6,498.69 | 9 |
| Artery x-rays lung CPT 75746 | not published | not published | $119.23 – $6,498.69 | 9 |
| Artery x-rays lungs CPT 75743 | $5,817.34 | $10,576.98 | $103.43 – $6,498.69 | 9 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $12,441.34 | $22,620.62 | $132.62 – $11,452.76 | 9 |
| Artery x-rays spine CPT 75705 | not published | not published | $194.92 – $11,452.76 | 9 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $310.14 – $4,386.82 | 3 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $1,916.81 – $26,424.41 | 9 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $2,317.30 – $55,846.90 | 8 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $2,579.50 – $26,424.41 | 9 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $2,742.42 – $55,846.90 | 9 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $1,550.45 – $14,934.65 | 11 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $1,525.50 – $26,424.41 | 11 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $1,933.00 – $26,424.41 | 11 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $2,367.25 – $55,846.90 | 9 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $1,218.67 – $36,087.88 | 9 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $715.05 – $36,087.88 | 8 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $1,116.33 – $14,934.65 | 11 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $986.91 – $14,934.65 | 11 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $1,205.96 – $14,934.65 | 11 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $1,292.60 – $14,934.65 | 11 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $1,322.79 – $26,424.41 | 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.