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 |
|---|---|---|---|---|
| Incis spine 3 column thorac CPT 22206 | not published | not published | $3,717.37 – $14,934.65 | 8 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.28 – $10.31 | 9 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $131.79 – $1,872.00 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $759.28 – $4,386.82 | 3 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $884.73 – $4,386.82 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $648.51 – $4,386.82 | 3 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $651.55 – $4,386.82 | 4 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $895.49 – $4,386.82 | 3 |
| Induced abortion d&c CPT 59840 | not published | not published | $337.68 – $6,662.61 | 10 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $567.88 – $6,662.61 | 10 |
| Induction of vomiting CPT 99175 | not published | not published | $40.16 – $43.08 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $150.23 | 7 |
| Infect ag drug suscept pheno predict CPT 87900 | $214.50 | $390.00 | $130.35 – $278.95 | 8 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $9.00 – $32.10 | 9 |
| Infect ag eia influenza a or b ea CPT 87400 | $135.85 | $247.00 | $9.00 – $30.24 | 9 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $550.94 | 7 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $550.94 | 7 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $212.85 | $387.00 | $128.73 – $275.48 | 7 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $2,181.71 | $3,966.75 | $257.45 – $550.94 | 9 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $70.13 | 8 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $14.00 – $75.52 | 9 |
| Infect ag ia optc obs influenza CPT 87804 | $257.95 | $469.00 | $14.00 – $35.42 | 9 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $25.64 | 9 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $12.00 – $39.29 | 9 |
| Infect ag if influenza a CPT 87276 | $81.40 | $148.00 | $9.00 – $34.39 | 9 |
| Infect ag if influenza b CPT 87275 | not published | not published | $9.00 – $26.22 | 9 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $14.00 – $33.38 | 9 |
| Infect ag if nos ea CPT 87299 | not published | not published | $9.00 – $34.45 | 9 |
| Infect ag if pneumocystis carinii CPT 87281 | $34.65 | $63.00 | $9.00 – $25.64 | 9 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $9.00 – $28.72 | 9 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $40.00 – $114.43 | 9 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $75.09 | 9 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $91.68 | 8 |
| Infect ag na hpv high-risk types CPT 87624 | $199.65 | $363.00 | $35.09 – $75.09 | 8 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $312.26 | $567.75 | $95.80 – $205.01 | 8 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $109.80 | 8 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $374.00 | $680.00 | $51.31 – $109.80 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,766.05 | $3,211.00 | $416.78 – $891.91 | 8 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $1,045.73 | 8 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $55.79 | 8 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $88.55 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $103.95 | $189.00 | $9.00 – $25.64 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $9.00 – $28.72 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $9.00 – $29.57 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $203.22 | $369.50 | $11.98 – $25.64 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $243.79 | $443.25 | $14.38 – $30.77 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $175.04 | $318.25 | $7.00 – $22.11 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $53.90 | $98.00 | $7.00 – $22.11 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $204.05 | $371.00 | $24.08 – $51.53 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $202.88 | $368.88 | $9.00 – $25.64 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $203.22 | $369.50 | $9.00 – $25.64 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $9.00 – $25.64 | 9 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $594.82 | $1,081.50 | $25.00 – $75.09 | 9 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $297.41 | $540.75 | $35.09 – $75.09 | 9 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $297.41 | $540.75 | $37.27 – $79.76 | 8 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,024.65 | $1,863.00 | $416.78 – $891.91 | 8 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $297.41 | $540.75 | $25.00 – $75.09 | 9 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $213.40 | $388.00 | $35.09 – $75.09 | 8 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $529.51 | $962.75 | $25.00 – $89.20 | 9 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $398.06 | $723.75 | $35.09 – $75.09 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $68.80 | $125.10 | $51.31 – $109.80 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $142.63 – $305.23 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $549.45 | $999.00 | $142.63 – $305.23 | 8 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $63.36 | $115.20 | $35.09 – $75.09 | 9 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $297.41 | $540.75 | $35.09 – $75.09 | 8 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $150.19 | 6 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $200.20 | $364.00 | $76.77 – $164.29 | 7 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $1,454.71 | 6 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $180.95 | $329.00 | $416.78 – $891.91 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $274.54 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $562.80 | 8 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $363.00 | $660.00 | $30.00 – $91.68 | 9 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $726.00 | $1,320.00 | $42.84 – $91.68 | 9 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $726.00 | $1,320.00 | $42.84 – $91.68 | 9 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $721.19 | $1,311.25 | $85.10 – $182.11 | 9 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $235.95 | $429.00 | $142.63 – $305.23 | 8 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.48 – $61.38 | 9 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $22.52 – $60.12 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $18.14 – $54.03 | 9 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $62.53 | 8 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $70.22 – $133.59 | 4 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $32.91 – $46.19 | 4 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $338.30 – $1,496.00 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $519.74 – $1,496.00 | 2 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $342.50 – $1,496.00 | 2 |
| Infuse radioactive materials CPT 77750 | not published | not published | $119.00 – $793.83 | 9 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $104.15 – $120.17 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $113.00 – $928.55 | 8 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $213.65 | $388.45 | $63.96 – $450.70 | 8 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,839.14 – $6,075.76 | 8 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,756.84 – $3,759.64 | 8 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,628.34 – $3,484.65 | 8 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $61.54 – $274.02 | 8 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $519.70 – $519.70 | 1 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $186.00 – $204.18 | 2 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $254.25 – $279.27 | 2 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $112.31 – $122.86 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $604.01 | $1,098.20 | $56.91 – $450.70 | 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.