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 |
|---|---|---|---|---|
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $424.31 – $1,579.00 | 10 |
| Intraventricular pacing CPT 93612 | $2,220.16 | $4,036.65 | $85.89 – $16,053.17 | 9 |
| Intrinsic factor antibody CPT 86340 | $255.48 | $464.50 | $11.00 – $32.27 | 9 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $76.20 – $274.02 | 8 |
| Intro cath dialysis circuit CPT 36901 | $2,874.19 | $5,225.80 | $252.37 – $3,239.91 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | $5,769.88 | $10,490.70 | $360.25 – $11,714.30 | 9 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $11,689.84 | $21,254.25 | $473.52 – $23,760.10 | 9 |
| Intro catheter aorta CPT 36200 | $4,772.71 | $8,677.65 | $208.71 – $1,496.00 | 2 |
| Intro cath svc/ivc CPT 36010 | $2,944.20 | $5,353.09 | $163.00 – $1,496.00 | 2 |
| Intro long gi tube CPT 44500 | $995.78 | $1,810.50 | $28.96 – $1,872.00 | 10 |
| Intro long gi tube w/mult fluo CPT 74340 | $271.15 | $493.00 | $107.35 – $121.59 | 3 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $224.64 – $3,663.36 | 11 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,300.00 | $6,000.00 | $133.19 – $1,496.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $2,343.55 | $4,261.00 | $106.02 – $1,496.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $418.55 | $761.00 | $215.61 – $1,579.00 | 10 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $68.10 – $70.14 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $26.90 – $121.42 | 8 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $3,564.55 – $3,564.55 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $237.78 – $848.12 | 8 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $336.41 – $599.92 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $35.89 – $76.81 | 8 |
| Ionm in operatng room 15 min CPT 95940 | $316.80 | $576.00 | $44.95 – $48.88 | 2 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $254.37 – $254.37 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.47 – $0.65 | 4 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.16 – $0.23 | 4 |
| Io radiation tx management CPT 77469 | not published | not published | $488.50 – $527.36 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,083.72 – $15,159.15 | 7 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,083.72 – $15,159.15 | 7 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.64 – $0.64 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $190.43 – $371.34 | 9 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $120.09 – $153.06 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $166.18 – $212.23 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $223.19 – $286.67 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $84.91 – $109.52 | 2 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.03 – $0.03 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.41 – $0.58 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.87 – $3.20 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.86 – $128.43 | 9 |
| Iron CPT 83540 | $418.00 | $760.00 | $5.00 – $13.85 | 9 |
| Iron binding capacity CPT 83550 | not published | not published | $6.00 – $18.70 | 9 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.99 – $37.04 | 9 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.00 – $14.72 | 9 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.27 – $0.38 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $21.00 – $76.88 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $83.68 | $152.15 | $36.14 – $121.42 | 8 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $284.23 – $3,193.45 | 10 |
| Irrigation syringe HCPCS A4322 | not published | not published | $6.30 – $6.73 | 2 |
| Irrigation tray HCPCS A4320 | not published | not published | $11.19 – $11.97 | 2 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $39.50 – $1,496.00 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $88.16 – $171.91 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,254.00 – $4,246.62 | 11 |
| Ivc venogram s&i CPT 75825 | $3,701.20 | $6,729.45 | $88.61 – $6,498.69 | 9 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $316.25 | $575.00 | $41.80 – $148.19 | 8 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $253.00 | $460.00 | $26.06 – $29.22 | 2 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $243.65 | $443.00 | $30.24 – $96.38 | 8 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $953.15 | $1,733.00 | $91.16 – $437.78 | 8 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $58.00 – $822.80 | 8 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $161.31 – $1,496.00 | 9 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $168.70 – $361.01 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $160.93 – $361.01 | 9 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.75 – $272.52 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $628.10 | $1,142.00 | $185.20 – $396.33 | 8 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $810.92 – $6,734.39 | 11 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $904.48 – $6,734.39 | 11 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $361.17 – $3,949.47 | 11 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $36.14 | 8 |
| J-tube placement CPT 44015 | not published | not published | $213.46 – $4,386.82 | 3 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,341.77 – $2,871.39 | 8 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,176.93 – $2,518.63 | 8 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,970.44 – $4,216.74 | 8 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,307.92 – $2,798.95 | 8 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,376.03 – $2,944.70 | 8 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,480.79 – $3,168.89 | 8 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,045.73 – $2,237.86 | 8 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,594.53 – $5,552.29 | 8 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,913.97 – $4,095.90 | 8 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $214.05 – $458.07 | 8 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,165.54 – $2,494.26 | 8 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $5,062.71 – $10,834.20 | 8 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,138.18 – $2,435.71 | 8 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,642.94 – $3,515.89 | 8 |
| Keratomileusis CPT 65760 | not published | not published | $1,738.22 – $4,386.82 | 3 |
| Keratophakia CPT 65765 | not published | not published | $2,074.00 – $4,386.82 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,933.00 – $29,856.28 | 10 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $119.69 – $954.16 | 7 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $35.46 – $35.46 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $10.00 – $33.11 | 9 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $138.46 | $251.75 | $6.00 – $17.48 | 9 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.29 – $0.80 | 9 |
| Kidney endoscopy CPT 50551 | not published | not published | $444.90 – $11,035.58 | 11 |
| Kidney endoscopy CPT 50553 | not published | not published | $475.73 – $11,035.58 | 11 |
| Kidney endoscopy CPT 50570 | not published | not published | $744.32 – $7,255.07 | 10 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,079.58 – $11,035.58 | 9 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $516.50 – $19,483.75 | 11 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $854.82 – $7,255.07 | 10 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $523.22 – $19,483.75 | 11 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $597.80 – $11,035.58 | 11 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $852.29 – $19,483.75 | 9 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $918.70 – $11,035.58 | 9 |
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.