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 |
|---|---|---|---|---|
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $770.68 – $6,734.39 | 11 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $826.49 – $6,734.39 | 11 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $876.72 – $3,309.55 | 11 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $30.60 – $30.60 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,385.12 – $8,185.00 | 10 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $13.47 – $13.47 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $11.82 – $13.42 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $28.63 – $928.55 | 8 |
| Measure kidney pressure CPT 50396 | not published | not published | $174.86 – $1,579.00 | 11 |
| Measurement post void urine by ultrasound CPT 51798 | $100.04 | $181.90 | $16.24 – $1,496.00 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $123.75 – $1,496.00 | 9 |
| Mecasermin injection HCPCS J2170 | not published | not published | $248.77 – $386.01 | 2 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $420.79 – $900.49 | 8 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $508.70 – $508.70 | 1 |
| #mec-opiates CPT 80356 | $116.60 | $212.00 | $35.46 – $35.46 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $321.00 | 8 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $1,129.64 | 8 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $256.80 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $77.72 – $77.72 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $886.88 – $6,823.84 | 10 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $604.88 – $12,442.83 | 9 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $463.04 – $12,442.83 | 9 |
| Medical services after hrs CPT 99050 | not published | not published | $26.79 – $26.79 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $358.89 – $1,300.33 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.65 – $0.85 | 2 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $26.79 – $26.79 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $26.79 – $26.79 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.29 – $0.31 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $624.30 – $963.75 | 2 |
| Meg evoked single CPT 95966 | not published | not published | $825.91 – $1,767.45 | 8 |
| Meg spontaneous CPT 95965 | not published | not published | $825.91 – $2,303.47 | 8 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.62 – $15.05 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $119.69 – $590.74 | 9 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $119.69 – $233.39 | 9 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $29.99 – $54.14 | 4 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $119.69 – $276.99 | 9 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $69,113.10 – $95,028.69 | 2 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $119.69 – $604.29 | 9 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $107.72 – $233.39 | 8 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $72.16 – $233.39 | 9 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $242.29 – $242.29 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $2,530.96 – $14,934.65 | 9 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $11.56 – $16.22 | 4 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $6.23 – $6.23 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $32.28 – $62.95 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.99 – $4.94 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.49 – $0.74 | 4 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $382.95 – $1,933.00 | 3 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.55 – $2.25 | 4 |
| Metabolic Blood Panel (Basic) CPT 80048 | $690.25 | $1,255.00 | $6.00 – $18.10 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $1,004.84 | $1,826.99 | $8.00 – $22.60 | 9 |
| Metabolic panel ionized ca CPT 80047 | $188.51 | $342.75 | $13.73 – $29.38 | 8 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,925.23 – $4,119.99 | 8 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $673.92 – $673.92 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.41 – $2.61 | 4 |
| Methadone injection HCPCS J1230 | not published | not published | $23.84 – $33.46 | 4 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.33 – $0.51 | 2 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $7.25 – $10.17 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.23 – $0.44 | 4 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.94 – $4.98 | 4 |
| Methotrexate therapeutic drug level CPT 80204 | $188.65 | $343.00 | $38.57 – $82.54 | 8 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $155.61 – $155.61 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $82.13 – $82.13 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $8.64 – $28.92 | 8 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $24.27 – $34.06 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.41 – $2.17 | 2 |
| Methylphenidate CPT 80360 | $110.00 | $200.00 | $35.46 – $35.46 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.27 – $0.39 | 4 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.13 – $0.18 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.29 – $0.40 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.29 – $1.80 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.04 | 4 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $195.08 | 9 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $266.73 | 8 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.32 – $1.25 | 4 |
| Microalbumin urine screen CPT 82044 | not published | not published | $5.00 – $13.33 | 9 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $7.00 – $85.96 | 9 |
| Microdissection laser CPT 88380 | not published | not published | $105.78 – $167.31 | 2 |
| Microdissection manual CPT 88381 | not published | not published | $253.76 – $256.69 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $48.11 | 8 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,634.16 – $12,057.10 | 8 |
| Microsatellite instability CPT 81301 | $2,453.82 | $4,461.50 | $348.56 – $745.92 | 8 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $326.86 – $1,496.00 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $123.75 – $265.98 | 8 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,083.00 – $6,375.85 | 4 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.15 – $0.23 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.19 – $0.46 | 4 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $80.47 – $215.17 | 9 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $45.15 – $70.63 | 2 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.79 – $2.56 | 4 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $653.22 – $1,397.89 | 8 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.74 – $5.85 | 8 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.48 – $0.76 | 2 |
| Miroderm HCPCS Q4175 | not published | not published | $78.16 – $233.39 | 9 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.99 – $140.38 | 9 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.02 – $1.59 | 2 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $7,113.36 | 8 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $29.18 – $104.05 | 9 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $329.94 – $643.38 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $29.70 – $71.58 | 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.