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 |
|---|---|---|---|---|
| Assay of interleukin-6 (il-6) CPT 83529 | $319.55 | $581.00 | $17.27 – $36.96 | 8 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $18.00 – $42.41 | 9 |
| Assay of lap enzyme CPT 83670 | not published | not published | $6.00 – $20.99 | 9 |
| Assay of leflunomide CPT 80193 | not published | not published | $38.57 – $82.54 | 8 |
| Assay of lrh hormone CPT 83727 | not published | not published | $12.00 – $36.79 | 9 |
| Assay of methemalbumin CPT 83857 | not published | not published | $8.00 – $22.98 | 9 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $13.85 | 9 |
| Assay of osteocalcin CPT 83937 | not published | not published | $21.00 – $63.88 | 9 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $8.52 | 9 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $45.52 | 9 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $13.00 – $45.05 | 9 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $12.00 – $35.84 | 9 |
| Assay of progesterone CPT 84234 | not published | not published | $46.00 – $138.84 | 9 |
| Assay of prostaglandin CPT 84150 | $253.00 | $460.00 | $28.00 – $89.39 | 9 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $39.35 | 9 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $24.89 | 9 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $8.00 – $20.20 | 9 |
| Assay of salicylate CPT 80179 | not published | not published | $18.64 – $39.89 | 8 |
| Assay of semen fructose CPT 82757 | not published | not published | $12.00 – $37.11 | 9 |
| Assay of sialic acid CPT 84275 | not published | not published | $9.00 – $28.76 | 9 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $53.95 | 9 |
| Assay of somatostatin CPT 84307 | $187.55 | $341.00 | $13.00 – $39.12 | 9 |
| Assay of thiocyanate CPT 84430 | not published | not published | $8.00 – $24.89 | 9 |
| Assay of troponin qual CPT 84512 | not published | not published | $9.00 – $21.59 | 9 |
| Assay of tyrosine CPT 84510 | not published | not published | $7.00 – $22.75 | 9 |
| Assay of urine sulfate CPT 84392 | not published | not published | $3.00 – $11.75 | 9 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $5.00 – $20.44 | 9 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.00 – $12.95 | 9 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $12.00 – $35.35 | 9 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $22.96 | 9 |
| Assay rbc glutathione CPT 82979 | not published | not published | $8.00 – $20.20 | 9 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $42.24 | 9 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $92.86 – $198.72 | 8 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $97.71 – $296.49 | 8 |
| Assess cyst contrast inject CPT 49424 | $1,305.73 | $2,374.05 | $56.35 – $1,496.00 | 2 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $3.00 – $9.14 | 9 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $92.83 – $273.81 | 8 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $352.04 – $10,454.00 | 3 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $35.88 – $76.78 | 8 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $774.88 – $1,658.24 | 7 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $163.86 – $350.65 | 7 |
| Ast/sgot CPT 84450 | $87.72 | $159.50 | $4.00 – $11.09 | 9 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $96.55 – $188.26 | 9 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $21,004.78 | $38,190.50 | $892.52 – $30,526.42 | 4 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $14,163.38 | $25,751.60 | $1,034.79 – $30,526.42 | 4 |
| Atomic absorption CPT 82190 | not published | not published | $11.00 – $34.03 | 9 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.13 – $0.18 | 4 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $1,227.59 – $4,386.82 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $1,060.23 – $10,295.98 | 8 |
| Attach ocular implant CPT 65140 | not published | not published | $1,382.61 – $8,091.55 | 11 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $100.77 – $111.39 | 2 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $123.75 – $273.81 | 8 |
| Audiometry air + bone CPT 92553 | not published | not published | $66.09 – $273.81 | 8 |
| Auditory function 60 min CPT 92620 | not published | not published | $120.72 – $273.81 | 8 |
| Augmentation cheek bone CPT 21270 | not published | not published | $1,131.81 – $12,184.12 | 11 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $1,017.74 – $12,184.12 | 11 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,178.38 – $12,184.12 | 11 |
| Augmentation of facial bones CPT 21208 | not published | not published | $1,120.76 – $12,184.12 | 11 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $9,733.35 | $17,697.00 | $329.17 – $1,496.00 | 2 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $9,733.35 | $17,697.00 | $772.73 – $14,934.65 | 9 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,600.55 – $14,934.65 | 9 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $2,499.00 – $14,934.65 | 9 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $925.10 | $1,682.00 | $840.65 – $1,798.99 | 7 |
| Autologous blood op salvage CPT 86891 | $439.26 | $798.66 | $89.00 – $1,658.24 | 9 |
| Autologous blood process CPT 86890 | not published | not published | $57.00 – $350.65 | 9 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $741.80 – $741.80 | 1 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,099.29 – $4,246.62 | 7 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.00 – $13.85 | 9 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $71.32 – $273.84 | 7 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $63.70 – $264.83 | 7 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $112.58 – $273.84 | 7 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $108.64 – $211.84 | 9 |
| Av fistula revision CPT 36833 | not published | not published | $1,206.09 – $11,452.76 | 11 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,091.92 – $11,452.76 | 11 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,030.70 – $11,452.76 | 11 |
| Av fusion direct any site CPT 36821 | not published | not published | $986.63 – $6,498.69 | 11 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,085.69 – $11,452.76 | 11 |
| Avul nail plate addl CPT 11732 | not published | not published | $26.07 – $1,496.00 | 2 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $230.94 | $419.90 | $82.45 – $1,496.00 | 9 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $55.13 – $120.83 | 7 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $562,500.89 – $1,096,876.74 | 9 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,067.40 – $12,442.83 | 11 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.47 – $0.57 | 3 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.15 – $7.49 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.76 – $545.18 | 8 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.53 – $4.27 | 4 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.83 – $4.17 | 4 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $186.11 – $362.91 | 9 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $61.35 – $86.11 | 4 |
| Baclofen eval charges CPT 97750 | not published | not published | $31.69 – $67.82 | 8 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $7.00 – $24.70 | 9 |
| Bacterial vaginosis pcr CPT 87801 | $805.20 | $1,464.00 | $70.20 – $150.23 | 9 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $32.14 | 9 |
| #bac vag cand-c. albicans naa CPT 87481 | $105.05 | $191.00 | $35.09 – $75.09 | 8 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $13.91 – $14.86 | 2 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $272.18 – $1,496.00 | 2 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.21 – $0.51 | 2 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $5.09 – $5.44 | 2 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $20.69 – $22.12 | 2 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $13.01 – $13.91 | 2 |
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.