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 |
|---|---|---|---|---|
| Kidney function study CPT 78725 | not published | not published | $114.84 – $822.80 | 9 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $307.00 – $307.00 | 1 |
| Kidney imaging morphology CPT 78700 | not published | not published | $198.22 – $822.80 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $2,842.68 | $5,168.50 | $347.00 – $1,117.53 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,386.55 | $2,521.00 | $246.62 – $1,117.53 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,141.11 | $2,074.75 | $100.55 – $215.17 | 9 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $77.18 – $82.52 | 2 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $14.69 – $15.70 | 2 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $4,079.62 | $7,417.50 | $1,189.00 – $1,189.00 | 1 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $267.22 | 8 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $28.97 – $30.98 | 2 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $26.51 – $233.39 | 9 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $2,131.89 – $4,562.24 | 8 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $1.92 – $34.38 | 2 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $946.90 – $6,734.39 | 11 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $786.86 – $6,734.39 | 11 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $627.02 – $6,734.39 | 11 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $826.01 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $953.22 – $3,359.00 | 11 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,414.75 – $4,491.00 | 11 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $819.10 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $821.96 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $758.34 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $995.78 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,009.27 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $857.50 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,050.00 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,283.73 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $945.34 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $972.11 – $6,734.39 | 11 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,149.08 – $14,934.65 | 11 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,459.00 – $14,934.65 | 11 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,459.00 – $26,424.41 | 11 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $122.57 – $262.30 | 8 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $99.90 – $213.79 | 8 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $112.56 – $240.88 | 8 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $729.34 – $1,560.79 | 8 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $782.83 – $1,675.26 | 8 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $177.11 – $379.02 | 8 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $177.11 – $379.02 | 8 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $150.07 – $321.15 | 8 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $107.73 – $230.54 | 8 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $130.79 – $279.89 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| Knee MRI (with contrast) CPT 73722 | $3,062.12 | $5,567.50 | $354.48 – $1,613.46 | 8 |
| Knee MRI (without contrast) CPT 73721 | $2,110.76 | $3,837.75 | $207.89 – $491.09 | 8 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $363.62 – $778.15 | 8 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $2,463.86 – $5,272.66 | 8 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,145.99 – $2,452.42 | 8 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $695.57 – $1,488.52 | 8 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,038.73 – $2,222.88 | 8 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $663.71 – $1,420.34 | 8 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $587.64 – $1,257.55 | 8 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,839.54 – $6,076.62 | 8 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $3,033.70 – $6,492.12 | 8 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,614.94 – $3,455.97 | 8 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,114.06 – $2,384.09 | 8 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $17,961.29 – $38,437.16 | 8 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,331.15 – $2,848.66 | 8 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $2,218.82 – $4,748.27 | 8 |
| Knee X-ray CPT 73564 | $1,072.78 | $1,950.50 | $52.20 – $215.17 | 9 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $523.99 – $1,121.34 | 8 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $4,635.37 – $9,919.69 | 8 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $710.64 – $1,520.77 | 8 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $710.64 – $1,520.77 | 8 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $1,298.28 – $2,778.32 | 8 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $70.12 – $150.06 | 8 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $89.34 – $191.19 | 8 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $1,108.58 – $2,372.36 | 8 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $600.78 – $1,285.67 | 8 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,256.72 – $2,689.38 | 8 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $205.78 – $440.37 | 8 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $892.02 – $1,908.92 | 8 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,348.79 – $2,886.41 | 8 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,917.72 – $4,103.92 | 8 |
| Kras gene addl variants CPT 81276 | not published | not published | $193.25 – $413.56 | 8 |
| Kras gene variants exon 2 CPT 81275 | $1,326.46 | $2,411.75 | $193.25 – $413.56 | 8 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,275.36 – $1,863.83 | 2 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $3,258.00 – $36,087.88 | 8 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $3,749.50 – $36,087.88 | 8 |
| Kyphosis pad HCPCS L1020 | not published | not published | $125.95 – $269.53 | 8 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $143.30 – $306.66 | 8 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $28.46 – $28.46 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $22.81 – $22.81 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.31 – $0.67 | 4 |
| Labioplasty 56800 CPT 56800 | not published | not published | $387.42 – $6,662.61 | 11 |
| Lab pathology consultation CPT 80500 | not published | not published | $24.00 – $24.00 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $59.00 – $59.00 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $478.23 – $1,023.41 | 8 |
| Lactate dehydrogenase (ldh) CPT 83615 | $102.37 | $186.13 | $4.00 – $12.93 | 9 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $2.62 – $4.25 | 4 |
| Lactic acid CPT 83605 | $260.15 | $473.00 | $8.00 – $24.76 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | $114.40 | $208.00 | $19.70 – $42.16 | 8 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $42.01 | 8 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $389.16 – $10,454.00 | 3 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,957.24 – $14,934.65 | 10 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,680.06 – $14,934.65 | 10 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,869.00 – $14,934.65 | 10 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $345.81 – $10,454.00 | 3 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $3,009.36 – $10,454.00 | 4 |
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.