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 |
|---|---|---|---|---|
| Home health care supervision HCPCS G0181 | not published | not published | $160.11 – $160.11 | 1 |
| Home health re-certification physician g0179 HCPCS G0179 | not published | not published | $62.89 – $62.89 | 1 |
| Home/res vst est high mdm 60 CPT 99350 | not published | not published | $284.61 – $284.61 | 1 |
| Home/res vst est mod mdm 40 CPT 99349 | not published | not published | $195.24 – $195.24 | 1 |
| Home/res vst est sf mdm 20 CPT 99347 | not published | not published | $69.76 – $69.76 | 1 |
| Home/res vst new high mdm 75 CPT 99345 | not published | not published | $309.69 – $309.69 | 1 |
| Home/res vst new low mdm 30 CPT 99342 | not published | not published | $120.99 – $120.99 | 1 |
| Home/res vst new mod mdm 60 CPT 99344 | not published | not published | $218.86 – $218.86 | 1 |
| Home/res vst new sf mdm 15 CPT 99341 | not published | not published | $76.10 – $76.10 | 1 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $163.41 – $444.41 | 8 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $82.90 – $444.41 | 8 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $86.26 – $444.41 | 7 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $137.81 – $137.81 | 1 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $117.72 – $117.72 | 1 |
| Homocysteine CPT 83090 | $286.00 | $520.00 | $17.92 – $38.35 | 9 |
| Homogenization tissue CPT 87176 | $53.90 | $98.00 | $4.00 – $12.58 | 9 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $14.00 – $47.96 | 9 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $78.28 – $167.52 | 8 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $1,048.22 – $2,243.19 | 8 |
| Hospice care supervision CPT 99377 | not published | not published | $82.83 – $82.83 | 1 |
| Hospice care supervision CPT 99378 | not published | not published | $129.53 – $129.53 | 1 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $261.55 | 7 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $261.55 | 7 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $261.55 | 7 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $261.55 | 7 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $261.55 | 7 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $261.55 | 7 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $261.55 | 7 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $261.55 | 7 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $75.09 | 8 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $75.09 | 7 |
| Hpv types 16 & 18 only CPT 87625 | $45.10 | $82.00 | $40.55 – $86.78 | 8 |
| H pylori ag ia CPT 87339 | not published | not published | $14.00 – $34.24 | 9 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $144.15 | 8 |
| H pylori (c-13) breath CPT 83013 | $146.30 | $266.00 | $67.36 – $144.15 | 9 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $16.82 | 9 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $993.86 – $2,790.45 | 8 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $642.14 – $642.14 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,251.69 | 8 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,251.69 | 8 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,872.00 – $4,246.62 | 8 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $42.91 | 9 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $588.14 | 8 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $293.18 | 8 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $20.81 – $44.53 | 8 |
| Human ig IV CPT 90283 | not published | not published | $55.59 – $86.95 | 2 |
| Human ig sc CPT 90284 | not published | not published | $15.33 – $23.13 | 2 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.73 – $3.71 | 7 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $36.67 – $91.65 | 4 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.75 – $0.82 | 3 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.41 – $0.59 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $5.02 – $9.18 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $278.30 | $506.00 | $18.22 – $96.38 | 8 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $1,057.65 | $1,923.00 | $47.44 – $437.78 | 8 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $47.79 – $51.10 | 2 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $35.25 – $37.70 | 2 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $16.58 – $17.72 | 2 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $13.73 – $14.68 | 2 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $25.67 – $27.45 | 2 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.59 – $0.59 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $23.46 – $32.93 | 4 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $9.63 – $9.63 | 1 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $15.24 – $16.29 | 2 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $82.34 – $88.04 | 2 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $49.85 – $53.30 | 2 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $34.05 – $36.41 | 2 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $14.39 – $15.39 | 2 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $9.83 – $10.51 | 2 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.16 – $0.22 | 3 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $87.57 – $138.31 | 2 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $7.54 – $7.54 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 3 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.59 – $0.92 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $16.28 – $28.42 | 4 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.13 – $0.13 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $12.00 – $38.31 | 9 |
| Hymenotomy CPT 56442 | not published | not published | $72.01 – $6,662.61 | 11 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.13 – $35.36 | 9 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,498.53 – $12,184.12 | 10 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $58.24 – $58.24 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $147.93 – $161.75 | 2 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $7.00 – $21.79 | 9 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $332.00 – $1,433.48 | 9 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $332.00 – $793.83 | 9 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $332.00 – $1,156.94 | 9 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $332.00 – $1,156.94 | 9 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $332.00 – $1,406.34 | 9 |
| Hypnotherapy CPT 90880 | not published | not published | $97.71 – $209.09 | 7 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $328.89 – $328.89 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.35 – $35.78 | 8 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,519.02 – $4,386.82 | 3 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,624.97 – $4,386.82 | 3 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $423.19 – $4,386.82 | 2 |
| Hysterosalpingography s&i CPT 74740 | $1,854.69 | $3,372.16 | $108.73 – $491.09 | 9 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $375.28 – $10,295.98 | 11 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $353.07 – $6,662.61 | 11 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $230.77 – $6,662.61 | 11 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $433.64 – $10,295.98 | 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.