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 |
|---|---|---|---|---|
| Init nb em per day non-fac CPT 99461 | not published | not published | $93.74 – $126.76 | 2 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $187.49 – $187.49 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $58.93 – $209.09 | 8 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.18 – $12.06 | 8 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.46 – $14.55 | 9 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.33 | 8 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.06 – $0.10 | 4 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.06 – $0.08 | 4 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.08 | 4 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,133.45 – $8,060.23 | 9 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $64,331.61 – $125,446.65 | 9 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $8.97 – $9.82 | 3 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $36.21 – $70.62 | 8 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $803.26 – $1,566.35 | 8 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $298.68 – $582.43 | 8 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.62 – $3.16 | 9 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $2.90 – $7.42 | 2 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.07 – $9.12 | 9 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $121.54 – $237.01 | 8 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $52.50 – $155.89 | 9 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $280.69 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.51 – $36.09 | 9 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,674.68 – $7,165.62 | 9 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $2.12 – $2.12 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.46 – $6.75 | 9 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $51.83 – $110.91 | 7 |
| Inj. asceniv HCPCS J1554 | not published | not published | $509.14 – $992.82 | 9 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $58.70 – $114.46 | 9 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $32.55 – $63.48 | 8 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.20 – $201.25 | 8 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $83.94 – $163.69 | 9 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $74.65 – $74.65 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $165.56 – $322.85 | 9 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $43.70 – $61.73 | 2 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,930,260.34 – $6,270,757.14 | 7 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.82 – $77.66 | 9 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $213.76 – $416.82 | 9 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.21 – $0.30 | 4 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $24.75 – $52.96 | 7 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $77.48 | 8 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $77.48 | 8 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.63 – $2.50 | 4 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $78.23 – $126.05 | 2 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $430.58 – $839.62 | 8 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,722.30 – $3,358.49 | 8 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $359.71 – $701.44 | 9 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $1,394.25 – $1,394.25 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.45 – $2.84 | 7 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $128.35 – $469.90 | 8 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.96 – $1.76 | 2 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $30.22 – $296.06 | 2 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.43 – $2.02 | 4 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.47 – $1.71 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.11 – $1.56 | 3 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $6.61 – $9.29 | 4 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.75 – $8.66 | 4 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.55 – $4.97 | 9 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $9.17 – $19.57 | 9 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $123.38 – $264.03 | 7 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $17.16 – $33.45 | 8 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $82.53 – $430.47 | 9 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $96.30 – $187.79 | 8 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $2.87 – $4.04 | 4 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $110.80 | $201.45 | $61.17 – $1,496.00 | 2 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $101.64 – $145.23 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,189.65 – $1,669.68 | 4 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $1,180.24 | 7 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.03 – $27.36 | 9 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $18.15 – $35.39 | 9 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $8.92 – $17.40 | 8 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.49 – $2.94 | 9 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $2.64 | 8 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.44 – $6.95 | 8 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.08 – $0.13 | 4 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.07 – $0.11 | 4 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.05 – $0.08 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.07 – $5.98 | 8 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.89 – $1.28 | 4 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,316,897.12 – $7,098,159.85 | 7 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.41 – $0.41 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $218.27 – $1,496.00 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $8.12 | 8 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $99.47 – $1,496.00 | 9 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.24 – $12.17 | 9 |
| Inj dx for sinogram CPT 20501 | not published | not published | $55.43 – $1,496.00 | 2 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $731.00 – $1,496.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $125.73 – $1,579.00 | 10 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,021.02 | $1,856.40 | $103.31 – $1,496.00 | 2 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $54.45 – $106.17 | 9 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $513.37 – $1,001.07 | 9 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $786.73 – $1,795.82 | 7 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $86.26 – $1,579.00 | 10 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $166.17 – $355.61 | 8 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $4.71 – $4.71 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $73.77 – $143.85 | 9 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.49 – $0.49 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.43 – $0.62 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $1,524.05 | $2,771.00 | $56.14 – $1,496.00 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $6.46 – $35.84 | 9 |
| Injection epidural blood patch or clot CPT 62273 | $886.38 | $1,611.60 | $173.17 – $1,579.00 | 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.