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 |
|---|---|---|---|---|
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $1,444.30 – $10,479.00 | 8 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $1,246.16 – $21,878.19 | 9 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $991.50 – $21,878.19 | 8 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,680.46 – $5,000.00 | 3 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $1,795.48 – $21,878.19 | 9 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,822.76 – $21,878.19 | 9 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $1,600.09 – $21,878.19 | 9 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $2,957.34 – $4,386.82 | 3 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,524.72 – $5,000.00 | 3 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $284.66 – $8,185.00 | 3 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $274.13 – $7,673.63 | 10 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $226.94 – $6,535.00 | 10 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $226.94 – $7,673.63 | 11 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $202.65 – $2,100.00 | 11 |
| Largsc w/ther injection CPT 31573 | not published | not published | $226.02 – $6,535.00 | 10 |
| Laronidase injection HCPCS J1931 | not published | not published | $41.49 – $80.90 | 9 |
| Laryngeal function studies CPT 92520 | not published | not published | $60.82 – $273.84 | 8 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,823.54 – $12,184.12 | 9 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $2,126.48 – $12,184.12 | 9 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,337.31 – $12,184.12 | 9 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $2,255.02 – $12,184.12 | 9 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $2,537.86 – $12,184.12 | 9 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $2,538.83 – $12,184.12 | 9 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,755.00 – $12,184.12 | 11 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,661.57 – $12,184.12 | 9 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $347.36 – $7,673.63 | 11 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $45.51 – $50.01 | 2 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $52.52 – $205.95 | 8 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $473.34 – $14,525.57 | 11 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $377.46 – $7,673.63 | 11 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $218.96 – $7,673.63 | 11 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $244.57 – $7,673.63 | 11 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $243.32 – $3,663.36 | 11 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $295.62 – $7,673.63 | 11 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $181.53 – $1,579.00 | 10 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $286.86 – $7,673.63 | 11 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $318.65 – $7,673.63 | 11 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $365.70 – $7,673.63 | 11 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $320.27 – $7,673.63 | 11 |
| Laryngoscopy w/fb removal CPT 31530 | $2,854.09 | $5,189.25 | $301.84 – $3,663.36 | 11 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $181.50 – $3,663.36 | 11 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $184.07 – $7,673.63 | 11 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $168.64 – $1,579.00 | 11 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $517.85 – $14,525.57 | 11 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $398.95 – $7,673.63 | 11 |
| Laser surgery eye strands CPT 67031 | not published | not published | $528.43 – $2,100.00 | 11 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $223.30 – $6,662.61 | 11 |
| Laser surgery of prostate CPT 52647 | not published | not published | $992.50 – $8,642.15 | 6 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,057.88 – $11,035.58 | 11 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $148.73 – $4,246.62 | 11 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,435.82 – $8,507.36 | 11 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,550.32 – $8,507.36 | 11 |
| Lateral canthopexy CPT 21282 | not published | not published | $600.73 – $6,823.84 | 10 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $300.68 – $643.46 | 8 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $90.32 – $193.28 | 8 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $79.54 – $170.22 | 8 |
| Lat retinacular release open CPT 27425 | not published | not published | $695.91 – $6,734.39 | 11 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $166.86 – $1,496.00 | 9 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,717.76 – $21,878.19 | 10 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $1,120.15 – $5,978.45 | 10 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $5,400.57 | $9,819.21 | not published | 0 |
| Lead capillary CPT 83655 | $102.58 | $186.50 | $9.00 – $25.92 | 9 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,664.75 | $3,026.81 | not published | 0 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $422.56 – $904.28 | 8 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,981.20 | $16,329.46 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,011.11 – $12,184.12 | 9 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,065.26 – $12,184.12 | 9 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,574.27 – $12,184.12 | 8 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,128.86 – $12,184.12 | 9 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,496.86 – $12,184.12 | 9 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $3.68 – $3.93 | 2 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $2.42 – $2.58 | 2 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $3.68 – $3.93 | 2 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $2,534.68 – $5,424.22 | 8 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,880.37 – $4,023.99 | 8 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,488.44 – $3,185.26 | 8 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,819.35 – $3,893.41 | 8 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $42.91 | 9 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $89.37 | 9 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,971.13 – $4,218.22 | 8 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,411.91 – $6,498.69 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,495.90 | $4,538.00 | $222.23 – $491.09 | 8 |
| Leishmania antibody CPT 86717 | not published | not published | $9.00 – $26.22 | 9 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $990.10 – $6,734.39 | 11 |
| Lengthening of palate CPT 42227 | not published | not published | $1,269.60 – $12,184.12 | 9 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,361.07 – $12,184.12 | 11 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,799.95 – $14,934.65 | 8 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $767.89 – $14,934.65 | 11 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,001.42 – $14,934.65 | 11 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,344.44 – $6,734.39 | 11 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,630.49 – $26,424.41 | 8 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,398.67 – $14,934.65 | 11 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,515.73 – $26,424.41 | 11 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,594.00 – $14,934.65 | 11 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | not published | $214.31 – $229.16 | 2 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $214.31 – $229.16 | 2 |
| Lepirudin HCPCS J1945 | not published | not published | $1,060.87 – $1,060.87 | 1 |
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.