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 |
|---|---|---|---|---|
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise skull for treatment CPT 61770 | not published | not published | $2,465.56 – $10,886.92 | 10 |
| Incise skull repair CPT 62121 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $646.08 – $4,302.40 | 10 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,189.00 – $10,454.00 | 4 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $2,103.48 – $10,454.00 | 4 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,884.67 – $10,454.00 | 4 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,872.17 – $10,454.00 | 4 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $149.22 – $1,579.00 | 10 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $1,117.97 – $14,934.65 | 11 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $739.29 – $6,734.39 | 11 |
| Incise & treat bladder CPT 51030 | not published | not published | $725.10 – $4,386.82 | 4 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $669.65 – $6,734.39 | 11 |
| Incision anal septum infant CPT 46070 | not published | not published | $407.24 – $5,712.83 | 9 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,565.17 | $4,663.95 | $179.46 – $3,399.30 | 9 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $1,474.08 – $14,934.65 | 8 |
| Incision/fixation of femur CPT 27165 | not published | not published | $2,081.67 – $14,934.65 | 8 |
| Incision of achilles tendon CPT 27605 | not published | not published | $280.42 – $3,309.55 | 11 |
| Incision of achilles tendon CPT 27606 | not published | not published | $411.94 – $6,734.39 | 11 |
| Incision of anal sphincter CPT 46080 | not published | not published | $240.33 – $5,712.83 | 11 |
| Incision of ankle bone CPT 28302 | not published | not published | $1,092.36 – $14,934.65 | 11 |
| Incision of bile duct CPT 47425 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of brain tissue CPT 61541 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of brain tissue CPT 61567 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of breast lesion CPT 19020 | $3,048.57 | $5,542.85 | $474.75 – $3,399.30 | 11 |
| Incision of brow nerve CPT 64732 | not published | not published | $691.03 – $4,019.07 | 11 |
| Incision of burn scab initi CPT 16035 | not published | not published | $298.79 – $1,496.00 | 9 |
| Incision of cheek nerve CPT 64734 | not published | not published | $780.02 – $4,019.07 | 11 |
| Incision of chin nerve CPT 64736 | not published | not published | $506.33 – $4,019.07 | 11 |
| Incision of eardrum CPT 69420 | not published | not published | $182.65 – $1,579.00 | 10 |
| Incision of eardrum CPT 69421 | not published | not published | $229.82 – $6,823.84 | 11 |
| Incision of esophagus CPT 43020 | not published | not published | $859.26 – $3,193.45 | 10 |
| Incision of eye CPT 65850 | not published | not published | $1,262.92 – $4,749.93 | 11 |
| Incision of eye CPT 66172 | not published | not published | $1,594.00 – $4,749.93 | 11 |
| Incision of eyelid CPT 67710 | not published | not published | $146.30 – $2,051.76 | 10 |
| Incision of facial nerve CPT 64742 | not published | not published | $748.59 – $4,019.07 | 11 |
| Incision of fibula CPT 27707 | not published | not published | $618.53 – $6,734.39 | 11 |
| Incision of finger tendon CPT 26455 | not published | not published | $693.74 – $3,309.55 | 11 |
| Incision of foot fascia CPT 28008 | not published | not published | $452.16 – $6,734.39 | 11 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $412.19 – $3,309.55 | 11 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of heel bone CPT 28300 | not published | not published | $994.52 – $14,934.65 | 11 |
| Incision of hip bone CPT 27146 | not published | not published | $1,941.88 – $14,934.65 | 8 |
| Incision of hip bones CPT 27151 | not published | not published | $2,397.23 – $14,934.65 | 8 |
| Incision of hip tendon CPT 27000 | not published | not published | $599.99 – $3,309.55 | 11 |
| Incision of hip tendon CPT 27001 | not published | not published | $824.93 – $6,734.39 | 11 |
| Incision of hip tendon CPT 27003 | not published | not published | $916.45 – $14,934.65 | 11 |
| Incision of hip tendons CPT 27006 | not published | not published | $1,092.07 – $6,734.39 | 9 |
| Incision of iris CPT 66500 | not published | not published | $586.18 – $4,749.93 | 11 |
| Incision of iris CPT 66505 | not published | not published | $637.68 – $4,749.93 | 11 |
| Incision of jaw joint CPT 21010 | not published | not published | $1,124.19 – $6,823.84 | 11 |
| Incision of jaw nerve CPT 64738 | not published | not published | $681.44 – $4,019.07 | 11 |
| Incision of knee joint CPT 27435 | not published | not published | $1,230.46 – $6,734.39 | 11 |
| Incision of liver duct CPT 47400 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of lymph channels CPT 38308 | not published | not published | $713.58 – $8,058.70 | 11 |
| Incision of metatarsal CPT 28306 | not published | not published | $624.07 – $14,934.65 | 11 |
| Incision of metatarsal CPT 28307 | not published | not published | $789.14 – $14,934.65 | 11 |
| Incision of metatarsal CPT 28308 | not published | not published | $593.81 – $6,734.39 | 11 |
| Incision of metatarsals CPT 28309 | not published | not published | $1,383.87 – $14,934.65 | 11 |
| Incision of midfoot bones CPT 28304 | not published | not published | $939.72 – $14,934.65 | 11 |
| Incision of neck of femur CPT 27161 | not published | not published | $1,852.81 – $14,934.65 | 8 |
| Incision of palm tendon CPT 26450 | not published | not published | $698.23 – $6,734.39 | 11 |
| Incision of prostate CPT 52450 | not published | not published | $725.92 – $7,255.07 | 11 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $1,051.97 – $4,386.82 | 3 |
| Incision of rectal abscess CPT 46060 | not published | not published | $737.73 – $5,712.83 | 11 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of sperm duct CPT 55200 | not published | not published | $424.98 – $7,255.07 | 11 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $850.86 – $4,019.07 | 11 |
| Incision of stomach nerves CPT 64755 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $940.15 – $14,934.65 | 11 |
| Incision of tendon sheath CPT 25000 | not published | not published | $529.74 – $3,309.55 | 11 |
| Incision of thigh CPT 27448 | not published | not published | $1,261.74 – $14,934.65 | 8 |
| Incision of thigh CPT 27450 | not published | not published | $1,535.47 – $14,934.65 | 8 |
| Incision of thigh tendon CPT 27306 | not published | not published | $527.93 – $6,734.39 | 11 |
| Incision of thigh tendon CPT 27390 | not published | not published | $690.77 – $6,734.39 | 11 |
| Incision of thigh tendons CPT 27307 | not published | not published | $628.49 – $6,734.39 | 11 |
| Incision of thigh tendons CPT 27391 | not published | not published | $885.67 – $6,734.39 | 11 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,089.85 – $6,734.39 | 11 |
| Incision of tibia CPT 27705 | not published | not published | $1,143.15 – $14,934.65 | 11 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,254.00 – $26,424.41 | 11 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $429.33 – $3,309.55 | 11 |
| Incision of tongue fold CPT 41010 | not published | not published | $165.42 – $3,193.45 | 11 |
| Incision of tongue nerve CPT 64740 | not published | not published | $694.15 – $4,019.07 | 11 |
| Incision of urethra CPT 53000 | not published | not published | $226.65 – $4,302.40 | 11 |
| Incision of urethra CPT 53010 | not published | not published | $454.15 – $11,035.58 | 11 |
| Incision of urethra CPT 53020 | not published | not published | $146.99 – $4,302.40 | 11 |
| Incision of urethra CPT 53025 | not published | not published | $104.27 – $4,302.40 | 9 |
| Incision of vagus nerve CPT 64760 | not published | not published | $792.01 – $4,386.82 | 3 |
| Incision of windpipe CPT 31601 | not published | not published | $684.56 – $12,184.12 | 9 |
| Incision of windpipe CPT 31610 | not published | not published | $1,443.20 – $12,184.12 | 9 |
| Incision of wrist capsule CPT 25085 | not published | not published | $688.91 – $6,734.39 | 11 |
| Incision secondary cataract CPT 66820 | not published | not published | $693.56 – $4,749.93 | 10 |
| Incision tendon sheath CPT 26055 | not published | not published | $446.09 – $3,309.55 | 11 |
| Incisn of toe tndn CPT 28010 | not published | not published | $319.22 – $3,309.55 | 9 |
| Incisn windpipe CPT 31600 | not published | not published | $462.69 – $6,823.84 | 10 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $731.00 – $1,496.00 | 2 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $3,641.03 – $14,934.65 | 8 |
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.