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 |
|---|---|---|---|---|
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.58 – $4.27 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.91 – $11.14 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $79.22 – $169.53 | 7 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.00 – $10.85 | 9 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $157.09 – $437.85 | 2 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $208.17 – $1,496.00 | 2 |
| Map tachycard site(s) CPT 93609 | $2,316.00 | $4,210.90 | $146.97 – $1,496.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $55.32 – $110.06 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | $645.98 | $1,174.50 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $160.16 – $170.26 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $278.14 – $595.22 | 8 |
| Mastectomy partial CPT 19301 | not published | not published | $1,003.70 – $8,058.70 | 11 |
| Mast mod rad CPT 19307 | not published | not published | $1,789.93 – $13,666.71 | 10 |
| Mastoidectomy CPT 69501 | not published | not published | $1,076.74 – $12,184.12 | 11 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,431.19 – $12,184.12 | 11 |
| Mastoids complete CPT 70130 | not published | not published | $60.00 – $215.17 | 9 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,927.15 – $12,184.12 | 11 |
| Mastopexy CPT 19316 | not published | not published | $1,199.24 – $13,666.71 | 11 |
| Mast radical CPT 19305 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $1,456.04 – $13,666.71 | 11 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $119.69 – $233.39 | 8 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $2,310.00 – $3,721.91 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $24.51 – $233.39 | 9 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $75.09 | 8 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $14.00 – $58.40 | 9 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $91.68 | 8 |
| Maxillofacial fixation CPT 21100 | not published | not published | $539.54 – $12,184.12 | 11 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $43.45 | $79.00 | $10.00 – $30.94 | 9 |
| Mayo aathr protein s free CPT 85306 | $129.94 | $236.25 | $11.00 – $32.78 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | $191.95 | $349.00 | $11.00 – $32.78 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $38.57 – $82.54 | 8 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $288.20 | $524.00 | $35.46 – $35.46 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $250.52 | $455.50 | $10.00 – $31.63 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $336.60 | $612.00 | $35.46 – $35.46 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $227.70 | $414.00 | $9.00 – $28.76 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $260.98 | $474.50 | $11.00 – $32.27 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $114.40 | $208.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $116.60 | $212.00 | $35.46 – $35.46 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $620.95 | $1,129.00 | $121.63 – $260.29 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $719.28 | $1,307.79 | $91.66 – $196.15 | 8 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $293.18 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,160.00 – $2,482.40 | 8 |
| Mayo androstenedione CPT 82157 | $156.75 | $285.00 | $29.28 – $62.66 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $247.50 | $450.00 | $10.00 – $31.24 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | $183.29 | $333.25 | $8.00 – $23.13 | 9 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $175.04 | $318.25 | $11.00 – $32.21 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | $211.89 | $385.25 | $30.86 – $66.04 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $75.09 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $169.40 | $308.00 | $35.46 – $35.46 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $172.42 | $313.50 | $7.00 – $21.79 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $1,227.46 | $2,231.75 | $144.84 – $309.96 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $298.65 | $543.00 | $214.62 – $459.29 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $140.80 | $256.00 | $9.00 – $27.61 | 9 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $160.60 | $292.00 | $35.46 – $35.46 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $9.00 – $28.23 | 9 |
| Mayo brcmg brucella antibody igm CPT 86622 | $313.64 | $570.25 | $6.00 – $19.11 | 9 |
| Mayo c1 esterase inhibitor CPT 83883 | $230.45 | $419.00 | $10.00 – $29.10 | 9 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $72.60 | $132.00 | $35.46 – $35.46 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $286.00 | $520.00 | $12.00 – $36.10 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $95.42 | $173.50 | $26.78 – $57.31 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $261.55 | 8 |
| Mayo ceruloplasmin CPT 82390 | $182.05 | $331.00 | $8.00 – $22.98 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $119.62 | $217.50 | $14.12 – $30.22 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $218.35 | $397.00 | $9.00 – $27.56 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $200.48 | $364.50 | $8.00 – $25.29 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $107.52 | $195.50 | $9.00 – $27.14 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $116.49 – $249.29 | 8 |
| Mayo chromium CPT 82495 | not published | not published | $14.00 – $43.40 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $116.60 | $212.00 | $35.46 – $35.46 | 1 |
| Mayo coccidioides antibody CPT 86635 | $194.56 | $353.75 | $8.00 – $24.55 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $330.69 | $601.25 | $24.09 – $51.55 | 9 |
| Mayo cortisol free CPT 82530 | $165.00 | $300.00 | $12.00 – $35.76 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $102.44 | $186.25 | $42.13 – $90.16 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $385.00 | $700.00 | $9.00 – $25.94 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $127.60 | $232.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $91.85 | $167.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $14.00 – $41.52 | 9 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $163.86 – $752.69 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $9.00 – $28.36 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $179.30 | $326.00 | $18.00 – $54.08 | 9 |
| Mayo dihydrotestosterone CPT 82642 | $58.02 | $105.50 | $29.28 – $62.66 | 8 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $20.63 | 9 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $3.00 – $10.70 | 9 |
| Mayo estriol CPT 82677 | $204.88 | $372.50 | $24.18 – $51.75 | 9 |
| Mayo estrone CPT 82679 | $211.48 | $384.50 | $18.00 – $53.39 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $12.00 – $34.97 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.73 – $29.38 | 8 |
| Mayo factor ii CPT 85210 | $240.90 | $438.00 | $9.00 – $27.78 | 9 |
| Mayo factor v CPT 85220 | $256.85 | $467.00 | $12.00 – $37.77 | 9 |
| Mayo factor vii CPT 85230 | $303.46 | $551.75 | $13.00 – $38.31 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | $388.85 | $707.00 | $16.00 – $49.09 | 9 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $388.85 | $707.00 | $16.00 – $49.09 | 9 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $388.85 | $707.00 | $16.00 – $49.09 | 9 |
| Mayo factor x CPT 85260 | $256.85 | $467.00 | $13.00 – $38.31 | 9 |
| Mayo factor xi CPT 85270 | $303.46 | $551.75 | $13.00 – $38.31 | 9 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $12.00 – $35.95 | 9 |
| Mayo fbl culture fungi blood CPT 87103 | $94.60 | $172.00 | $6.00 – $43.78 | 9 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $10.00 – $172.18 | 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.