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 |
|---|---|---|---|---|
| Ins mark thor for right perq CPT 32553 | not published | not published | $265.13 – $5,316.00 | 10 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | not published | not published | $91.13 – $195.02 | 7 |
| Ins picad w subq port 5yr> CPT 36571 | $3,517.47 | $6,395.40 | $470.58 – $6,498.69 | 11 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $123.76 – $2,891.00 | 10 |
| Ins pm gen exist dual lead CPT 33230 | $17,877.67 | $32,504.85 | $559.22 – $45,781.45 | 9 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $533.32 – $39,644.17 | 9 |
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $301.74 – $8,185.00 | 10 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $731.00 – $1,496.00 | 2 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $4,386.82 – $22,933.75 | 9 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $518.39 – $63,510.93 | 11 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $13,070.83 | $23,765.15 | $713.01 – $39,644.17 | 9 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $8,775.44 | $15,955.35 | $505.09 – $21,512.16 | 11 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $6,208.87 | $11,288.85 | $482.19 – $17,032.30 | 11 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $677.71 – $21,512.16 | 9 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $449.96 – $39,929.07 | 11 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $498.65 – $59,035.72 | 9 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $801.75 – $63,510.93 | 11 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $1,189.00 – $4,386.82 | 4 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $178.08 – $1,872.00 | 2 |
| Install spinal shunt CPT 63740 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $1,040.15 – $18,062.34 | 9 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $102.36 – $1,579.00 | 10 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $91.50 – $1,579.00 | 10 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $2,067.62 – $2,205.46 | 3 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $66.46 – $1,579.00 | 10 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.88 – $0.88 | 1 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $1,177.20 – $3,066.00 | 8 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $149.45 – $1,579.00 | 10 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $1,872.00 – $4,386.82 | 2 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $4.21 – $9.79 | 7 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $537.74 – $11,452.76 | 11 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $483.45 – $11,452.76 | 11 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,516.07 | $6,392.85 | $389.85 – $6,498.69 | 11 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $342.94 – $7,369.13 | 11 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $115.37 – $1,579.00 | 10 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $2.84 – $13.07 | 4 |
| Insulin suppression panel CPT 80432 | not published | not published | $165.61 – $354.41 | 9 |
| Insulin tolerance panel CPT 80434 | not published | not published | $115.00 – $609.96 | 9 |
| Insulin tolerance panel CPT 80435 | not published | not published | $103.00 – $220.42 | 9 |
| Insulin total CPT 83525 | $193.74 | $352.25 | $8.00 – $24.46 | 9 |
| Ins vag brachytx device CPT 57156 | not published | not published | $231.44 – $1,579.00 | 10 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,703.56 – $2,475.25 | 4 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $35.10 – $77.12 | 8 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $123.98 – $265.32 | 8 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $123.98 – $265.32 | 8 |
| Intercalary algrft compl CPT 20934 | not published | not published | $731.00 – $1,496.00 | 2 |
| Interdental fixation CPT 21110 | not published | not published | $1,054.29 – $3,193.45 | 10 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $871.15 – $3,193.45 | 11 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $234.37 – $1,579.00 | 10 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $66.57 – $66.57 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $60.58 – $60.58 | 1 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $19.04 – $19.04 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $31.50 – $49.28 | 2 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $62.32 – $88.19 | 2 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $2,511.58 – $3,263.61 | 2 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $746.09 – $844.36 | 2 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $8,549.22 – $12,871.42 | 2 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $13.83 – $19.40 | 4 |
| Intermediate visual field xm CPT 92082 | not published | not published | $38.29 – $121.42 | 8 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $271.72 – $1,496.00 | 3 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $587.57 – $587.57 | 1 |
| Interrogate subq defib CPT 93261 | not published | not published | $35.89 – $76.81 | 8 |
| Interrogation vad in person CPT 93750 | not published | not published | $60.44 – $1,496.00 | 9 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $35.89 – $76.81 | 8 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $27.82 – $59.53 | 8 |
| Interrog device eval heart CPT 93289 | not published | not published | $35.89 – $76.81 | 8 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $35.89 – $76.81 | 8 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $61.46 – $195.67 | 8 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $143.34 – $632.15 | 8 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $33.01 – $195.67 | 8 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $23,640.73 – $50,591.16 | 8 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $23,514.53 – $50,321.09 | 8 |
| Interstitial brachy inter CPT 77799 | not published | not published | $98.13 – $1,080.00 | 8 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $2,101.30 – $26,424.41 | 8 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $511.66 – $5,712.83 | 9 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $573.53 – $5,712.83 | 11 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,628.34 – $3,484.65 | 8 |
| Intra-atrial pacing CPT 93610 | $7,075.14 | $12,863.90 | $74.42 – $16,053.17 | 9 |
| Intra-atrial recording CPT 93602 | $7,075.14 | $12,863.90 | $61.56 – $16,053.17 | 9 |
| Intracard echo interv w/s&i CPT 93662 | $1,965.84 | $3,574.25 | $32.46 – $1,496.00 | 2 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,189.00 – $4,386.82 | 4 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,189.00 – $4,386.82 | 4 |
| Intracranial complete study CPT 93886 | not published | not published | $229.48 – $491.09 | 8 |
| Intracranial limited study CPT 93888 | not published | not published | $100.55 – $215.17 | 8 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $103.67 – $3,193.45 | 10 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,010.86 – $12,184.12 | 11 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $255.90 – $1,496.00 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $182.74 – $1,496.00 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $503.21 – $1,496.00 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $561.00 | $1,020.00 | $157.75 – $1,579.00 | 10 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $11.46 – $179.11 | 7 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $86.49 – $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.