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 |
|---|---|---|---|---|
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $411.56 | 7 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $433.14 | 8 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,445.36 | 8 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $708.34 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.01 – $36.40 | 7 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.86 – $10.40 | 7 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,594.00 – $26,424.41 | 11 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $81.17 – $179.11 | 8 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $128.33 – $1,496.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $226.78 – $1,496.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $215.78 – $1,496.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $298.57 – $3,309.55 | 11 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $671.77 – $3,359.00 | 10 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $364.09 – $3,193.45 | 9 |
| Mnt subs tx for change dx HCPCS G0270 | $55.05 | $100.09 | $21.26 – $45.50 | 8 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $804.84 – $1,722.36 | 8 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $181.58 – $4,386.82 | 3 |
| Modification of contact lens CPT 92325 | not published | not published | $58.90 – $273.84 | 8 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $873.43 – $4,386.82 | 3 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $37.73 – $80.74 | 7 |
| Molded inner boot HCPCS L2280 | not published | not published | $520.33 – $1,113.51 | 8 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,480.09 – $7,447.39 | 8 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $5,069.47 – $10,848.67 | 8 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,872.71 – $4,007.60 | 8 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $5,333.68 – $11,414.08 | 8 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $4.75 – $66.38 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $22.12 | 9 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $362.18 – $775.07 | 8 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $435.18 – $931.29 | 8 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $23,210.23 – $49,669.89 | 8 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $15,333.48 | $27,879.05 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $565.28 – $1,173.35 | 9 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $128.05 – $274.02 | 6 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $136.87 | 8 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $321.71 | 8 |
| Mopath procedure level 5 CPT 81404 | $1,886.50 | $3,430.00 | $274.83 – $588.14 | 8 |
| Mopath procedure level 6 CPT 81405 | $990.00 | $1,800.00 | $301.35 – $644.89 | 8 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $605.36 | 8 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,811.02 | 8 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $4,280.00 | 8 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $5.28 – $7.67 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $7.57 – $12.20 | 4 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.41 – $11.83 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $11.19 – $18.46 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $277.20 | $504.00 | $163.86 – $355.04 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $158.40 | $288.00 | $111.13 – $737.75 | 9 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $1,713.25 | $3,115.00 | $115.45 – $350.65 | 8 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $674.50 – $1,315.27 | 9 |
| Motion analysis video/3d CPT 96000 | not published | not published | $128.18 – $822.43 | 8 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $168.16 – $1,767.45 | 8 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $44.53 – $919.44 | 8 |
| Mouth piece HCPCS A4617 | not published | not published | $6.95 – $6.95 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $427.23 – $6,823.84 | 11 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $62.25 – $87.21 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $386.65 | $703.00 | $163.86 – $479.56 | 8 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $137.97 – $171.90 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $75.64 – $350.65 | 9 |
| Mpl gene analysis common variants CPT 81338 | $834.90 | $1,518.00 | $150.33 – $321.71 | 8 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $14.00 – $42.91 | 9 |
| M.pneumon dna quant CPT 87582 | not published | not published | $47.00 – $647.61 | 8 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $242.52 – $242.52 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $377.92 – $538.87 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $373.13 – $532.76 | 2 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $335.54 – $718.05 | 7 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $229.48 – $491.09 | 7 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $335.54 – $718.05 | 7 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $375.52 – $538.96 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $379.84 – $541.46 | 2 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $335.54 – $718.05 | 7 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $229.48 – $491.09 | 7 |
| MRA spinal canal CPT 72159 | not published | not published | $389.42 – $545.69 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $389.42 – $521.01 | 2 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $335.54 – $718.05 | 7 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $335.54 – $718.05 | 7 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $335.54 – $718.05 | 7 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $335.54 – $718.05 | 7 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $229.48 – $491.09 | 7 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $229.48 – $491.09 | 7 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $229.48 – $491.09 | 7 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $229.48 – $491.09 | 7 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $335.54 – $718.05 | 7 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $335.54 – $718.05 | 7 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $335.54 – $718.05 | 7 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $335.54 – $718.05 | 7 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $335.54 – $718.05 | 7 |
| Mr elastography CPT 76391 | not published | not published | $222.74 – $491.09 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $4,386.82 – $22,933.75 | 7 |
| MRI brain w/dye CPT 70558 | not published | not published | $168.70 – $1,914.60 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $525.53 – $1,737.14 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $168.70 – $1,799.15 | 8 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $217.47 – $491.09 | 8 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $354.96 – $538.56 | 2 |
| MRI breast without cont bi CPT 77047 | $2,060.27 | $3,745.95 | $216.04 – $491.09 | 8 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $351.61 – $549.23 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $229.48 – $491.09 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $335.54 – $718.05 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $428.28 – $1,613.46 | 8 |
| MRI chest without contrast CPT 71550 | $1,310.87 | $2,383.40 | $229.48 – $491.09 | 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.