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 |
|---|---|---|---|---|
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $4.00 – $16.73 | 9 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $6.00 – $30.94 | 9 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $172.15 | $313.00 | $21.67 – $46.37 | 8 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $990.00 | $1,800.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $84.15 | $153.00 | $3.00 – $10.16 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $124.85 | $227.00 | $35.09 – $75.09 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $75.09 | 9 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $211.89 | $385.25 | $9.00 – $29.51 | 9 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $437.39 | $795.25 | $18.00 – $55.23 | 9 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $67.24 | $122.25 | $6.00 – $19.02 | 9 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $67.24 | $122.25 | $10.00 – $28.93 | 9 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $460.49 | $837.25 | $27.17 – $58.14 | 9 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $880.03 | $1,600.06 | $17.27 – $36.96 | 9 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $704.55 | $1,281.00 | $11.00 – $32.08 | 9 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $176.41 | $320.75 | $15.00 – $44.53 | 9 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $352.82 | $641.50 | $20.81 – $44.53 | 9 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $75.09 | 7 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $220.55 | $401.00 | $14.00 – $34.39 | 9 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $326.15 | $593.00 | $11.98 – $25.64 | 8 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $594.82 | $1,081.50 | $35.09 – $75.09 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $39.05 | $71.00 | $35.09 – $75.09 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $594.82 | $1,081.50 | $35.09 – $75.09 | 9 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $35.09 – $75.09 | 7 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $363.00 | $660.00 | $30.00 – $91.68 | 9 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $72.19 – $154.49 | 8 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $38.57 – $82.54 | 7 |
| Mayo inhab inhibin a CPT 86336 | $132.14 | $240.25 | $15.59 – $33.36 | 9 |
| Mayo insft insulin free CPT 83527 | not published | not published | $9.00 – $27.71 | 9 |
| Mayo insulin antibodies CPT 86337 | $183.15 | $333.00 | $15.00 – $45.82 | 9 |
| Mayo iodine CPT 83789 | $165.55 | $301.00 | $13.00 – $51.60 | 9 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $27.11 – $58.02 | 8 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $102.30 | $186.00 | $27.11 – $58.02 | 7 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $201.85 | $367.00 | $13.25 – $28.36 | 8 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $409.75 | $745.00 | $9.00 – $27.37 | 9 |
| Mayo legionella antibody CPT 86713 | $259.32 | $471.50 | $11.00 – $32.74 | 9 |
| Mayo leptospira antibody igm CPT 86720 | $144.65 | $263.00 | $9.00 – $34.67 | 9 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $11.26 – $24.10 | 8 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $131.31 | $238.75 | $11.00 – $33.15 | 9 |
| Mayo manganese CPT 83785 | not published | not published | $17.00 – $57.03 | 9 |
| Mayo metanephrines plasma CPT 83835 | $287.24 | $522.25 | $12.00 – $36.25 | 9 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $116.60 | $212.00 | $35.46 – $35.46 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $12.05 – $25.79 | 8 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $22.00 | $40.00 | $18.40 – $39.38 | 8 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $208.04 | $378.25 | $10.00 – $31.14 | 9 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $255.89 | $465.25 | $10.00 – $39.89 | 9 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $137.00 – $293.18 | 8 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $396.33 | 8 |
| Mayo muramidase CPT 85549 | $42.90 | $78.00 | $13.00 – $40.12 | 9 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $18.40 – $39.38 | 8 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $18.05 – $38.63 | 8 |
| Mayo myoglobin CPT 83874 | $219.04 | $398.25 | $9.00 – $27.65 | 9 |
| Mayo nickel CPT 83885 | not published | not published | $17.00 – $52.45 | 9 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $116.60 | $212.00 | $35.46 – $35.46 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $15.40 | $28.00 | $35.46 – $35.46 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $508.75 | $925.00 | $35.46 – $35.46 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $291.22 | $529.50 | $12.00 – $45.39 | 9 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $12.00 – $35.20 | 9 |
| Mayo oxalate 24 hour urine CPT 83945 | $15.95 | $29.00 | $9.00 – $30.92 | 9 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $24.67 | 8 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $127.46 | $231.75 | $11.00 – $32.16 | 9 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $204.32 | $371.50 | $12.05 – $25.79 | 9 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $530.75 | $965.00 | $25.00 – $75.09 | 8 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $152.35 | $277.00 | $17.98 – $38.48 | 8 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $233.20 | $424.00 | $10.00 – $29.45 | 9 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $455.40 | $828.00 | $6.00 – $18.06 | 9 |
| Mayo pregnenolone CPT 84140 | $52.52 | $95.50 | $15.00 – $44.23 | 9 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $12.00 – $35.50 | 9 |
| Mayo proinsulin CPT 84206 | $669.35 | $1,217.00 | $13.00 – $57.12 | 9 |
| Mayo psaft prostate specific antigen free CPT 84154 | $155.92 | $283.50 | $18.39 – $39.35 | 9 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $252.59 | $459.25 | $10.00 – $39.38 | 9 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $9.00 – $28.59 | 9 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $26.00 – $78.26 | 9 |
| Mayo renin CPT 84244 | $372.76 | $677.75 | $16.00 – $47.06 | 9 |
| Mayo repu protein electrophoresis urine CPT 84166 | $302.22 | $549.50 | $17.83 – $38.16 | 8 |
| Mayo selenium CPT 84255 | not published | not published | $18.00 – $54.63 | 9 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $33.17 | 8 |
| Mayo serotonin CPT 84260 | $262.62 | $477.50 | $22.00 – $66.30 | 9 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $328.08 | $596.50 | $14.00 – $41.41 | 9 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $726.55 | $1,321.00 | $13.73 – $29.38 | 8 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $69.30 | $126.00 | $92.03 – $196.94 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $130.35 | $237.00 | $3.00 – $9.14 | 9 |
| Mayo tau phosphorylated 217 each CPT 84393 | $137.50 | $250.00 | $128.92 – $275.89 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $447.09 | 8 |
| Mayo tgrp testosterone free CPT 84402 | $429.00 | $780.00 | $25.47 – $54.51 | 9 |
| Mayo tgrp testosterone total CPT 84403 | $518.24 | $942.25 | $25.81 – $55.23 | 9 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $161.70 | $294.00 | $22.17 – $47.44 | 8 |
| Mayo thyroglobulin CPT 84432 | $136.12 | $247.50 | $11.00 – $34.37 | 9 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $172.42 | $313.50 | $7.00 – $21.79 | 9 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $209.96 | $381.75 | $9.00 – $26.51 | 9 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $204.88 | $372.50 | $35.46 – $35.46 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $109.74 | 7 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $48.54 | $88.25 | $7.00 – $30.30 | 9 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $229.49 | $417.25 | $13.54 – $28.98 | 8 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $25.00 – $75.61 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $22.55 | $41.00 | $14.00 – $43.31 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | $30.39 | $55.25 | $8.00 – $36.51 | 9 |
| Mayo vitamin k CPT 84597 | $149.60 | $272.00 | $10.00 – $29.36 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $50.60 | $92.00 | $13.25 – $28.36 | 8 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $84.12 | 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.