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 |
|---|---|---|---|---|
| MRI chest without & w/contrast CPT 71552 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| MRI chest w IV cont CPT 71551 | not published | not published | $435.95 – $1,613.46 | 8 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,866.53 – $3,994.37 | 8 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $168.64 – $321.34 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $229.48 – $491.09 | 8 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $511.70 – $653.00 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $599.06 – $622.15 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $3,185.08 | $5,791.05 | $280.21 – $718.05 | 8 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,079.91 | $3,781.65 | $229.48 – $491.09 | 8 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,060.27 | $3,745.95 | $229.48 – $491.09 | 8 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $287.88 – $718.05 | 8 |
| MRI tmj CPT 70336 | $2,060.27 | $3,745.95 | $229.48 – $491.09 | 9 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,060.27 | $3,745.95 | $229.48 – $491.09 | 8 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $335.54 – $718.05 | 8 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $335.54 – $718.05 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $168.70 – $361.01 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $335.54 – $718.05 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $83.70 – $179.11 | 6 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $56.74 – $121.42 | 6 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $229.48 – $491.09 | 6 |
| Mr spectroscopy CPT 76390 | not published | not published | $83.70 – $455.04 | 8 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $456.46 | 8 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $816.84 | 8 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $722.74 | 7 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $509.32 | 8 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,373.56 | 8 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $659.12 | 8 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $4,159.01 – $14,934.65 | 8 |
| Mthfr gene analy common variants CPT 81291 | $448.52 | $815.50 | $65.34 – $139.83 | 8 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $23.00 – $57.52 | 9 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $91.68 | 8 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.00 – $12.54 | 9 |
| Mucopolysaccharides CPT 83864 | not published | not published | $14.00 – $60.99 | 9 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $32.10 | 9 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $36.04 – $77.12 | 7 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,294.90 – $9,191.09 | 8 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $818.99 – $1,752.64 | 8 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $81.12 – $86.74 | 2 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $54.36 – $58.13 | 2 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $669.92 – $1,433.63 | 8 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $745.01 – $1,594.32 | 8 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $45.73 – $365.32 | 8 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $81.90 – $265.98 | 8 |
| Multiple sleep latency test CPT 95805 | not published | not published | $540.04 – $1,767.45 | 8 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,904.35 – $8,355.31 | 8 |
| Mumps antibody igg CPT 86735 | $221.10 | $402.00 | $13.05 – $27.93 | 9 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,411.00 – $4,246.62 | 11 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,459.00 – $7,293.65 | 11 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,459.00 – $7,293.65 | 11 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $94.36 – $544.95 | 8 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $86.69 – $273.81 | 8 |
| Muscle test larynx CPT 95865 | not published | not published | $97.71 – $273.84 | 8 |
| Muscle test one fiber CPT 95872 | not published | not published | $60.82 – $444.41 | 8 |
| Muscle transfers CPT 23397 | not published | not published | $1,734.55 – $14,934.65 | 11 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,755.00 – $14,934.65 | 11 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,559.52 – $8,185.00 | 10 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,145.58 – $14,934.65 | 11 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $40.00 – $103.23 | 8 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $42.91 | 9 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $91.68 | 8 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.17 – $0.31 | 4 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.43 – $1.03 | 4 |
| Mycoplasma antibody igm CPT 86738 | $224.26 | $407.75 | $9.00 – $28.33 | 9 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $375.36 | 7 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $126.95 – $1,613.46 | 9 |
| Myelography l-s spine CPT 72265 | not published | not published | $100.11 – $1,613.46 | 9 |
| Myelography neck spine CPT 72240 | not published | not published | $99.16 – $1,613.46 | 9 |
| Myelography thoracic spine CPT 72255 | not published | not published | $93.41 – $1,613.46 | 9 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $5,293.04 | $9,623.70 | $185.37 – $3,359.00 | 10 |
| Myelography via inj w/s&i cervical CPT 62302 | $5,293.04 | $9,623.70 | $180.71 – $3,359.00 | 10 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $5,293.04 | $9,623.70 | $178.56 – $3,359.00 | 10 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,686.74 | $3,066.80 | $180.74 – $3,359.00 | 10 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $315.15 | $573.00 | $11.53 – $24.67 | 9 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $528.66 – $2,943.10 | 9 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $541.71 – $2,943.10 | 8 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $810.44 – $3,701.00 | 8 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $886.87 – $4,533.75 | 8 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $621.19 – $2,943.10 | 9 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $757.98 – $4,533.75 | 8 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $649.46 – $2,943.10 | 8 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,769.99 – $4,386.82 | 3 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,412.55 – $4,386.82 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $871.03 – $6,662.61 | 11 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $634.81 – $634.81 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $748.98 – $6,823.84 | 11 |
| Nabilone oral HCPCS J8650 | not published | not published | $66.32 – $66.32 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.23 – $0.23 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $3.51 – $4.93 | 4 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.52 – $8.82 | 9 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $6.16 – $6.16 | 1 |
| Narcosynthesis CPT 90865 | not published | not published | $170.71 – $365.32 | 7 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $98.27 – $1,496.00 | 9 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $227.80 – $1,496.00 | 9 |
| Nasal function studies CPT 92512 | not published | not published | $41.87 – $544.95 | 8 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $1,638.38 – $3,506.13 | 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.