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 |
|---|---|---|---|---|
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $305.95 – $14,525.57 | 11 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $243.19 – $3,663.36 | 11 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $356.00 – $14,525.57 | 11 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $241.81 – $3,663.36 | 11 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $369.89 – $14,525.57 | 11 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $491.70 – $14,525.57 | 11 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $575.48 – $14,525.57 | 11 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $205.99 – $2,100.00 | 11 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $242.98 – $3,663.36 | 11 |
| Nasal sinus therapy CPT 30210 | not published | not published | $155.51 – $3,193.45 | 10 |
| Nasopharyngoscopy w/endoscope CPT 92511 | not published | not published | $57.55 – $410.83 | 8 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.41 – $47.59 | 9 |
| Natriuretic peptide CPT 83880 | $257.40 | $468.00 | $39.26 – $84.02 | 9 |
| Natural killer cells total count CPT 86357 | $134.48 | $244.50 | $37.73 – $80.74 | 8 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $145.99 – $1,496.00 | 2 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $76.97 – $209.09 | 7 |
| N block inj common digit CPT 64632 | not published | not published | $103.12 – $1,496.00 | 9 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $192.29 – $2,100.00 | 11 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $21.04 – $1,496.00 | 9 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $91.49 – $273.84 | 8 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $22.91 – $1,496.00 | 9 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $27.82 – $1,496.00 | 9 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $56.74 – $121.42 | 8 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $2,005.25 – $14,934.65 | 9 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $258.27 – $4,386.82 | 3 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,737.66 | $6,795.75 | $168.70 – $361.01 | 8 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $3,506.25 | $6,375.00 | $166.68 – $718.05 | 8 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $3,477.73 | $6,323.15 | $100.55 – $215.17 | 8 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,737.66 | $6,795.75 | $318.55 – $718.05 | 8 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,728.82 | $3,143.30 | $286.44 – $892.83 | 8 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,502.08 | $2,731.05 | $182.01 – $604.30 | 8 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | not published | not published | $262.95 – $718.05 | 8 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,060.27 | $3,745.95 | $229.48 – $491.09 | 8 |
| Neck spine disk surgery CPT 63020 | not published | not published | $1,667.42 – $14,934.65 | 10 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $2,054.90 – $14,934.65 | 9 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $364.72 – $1,496.00 | 2 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | not published | $81.94 – $99.62 | 2 |
| Neg press ventilation cnp CPT 94662 | not published | not published | $53.56 – $1,156.93 | 2 |
| Neg pres wound ther drsg set HCPCS A6550 | not published | not published | $45.80 – $48.68 | 2 |
| Neisseria meningitidis CPT 86741 | not published | not published | $13.19 – $28.23 | 9 |
| Nelarabine injection HCPCS J9261 | not published | not published | $65.41 – $182.28 | 9 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $74.63 – $283.40 | 8 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | not published | not published | $0.84 – $1.31 | 2 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $73.82 – $253.77 | 9 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nephrectomy partial CPT 50240 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $124.14 – $544.95 | 8 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | not published | not published | $104.27 – $106.70 | 2 |
| Nerve conduction 7-8 studies CPT 95910 | not published | not published | $103.46 – $768.03 | 8 |
| Nerve conduction studies 11-12 CPT 95912 | not published | not published | $133.62 – $928.55 | 8 |
| Nerve conduction studies 1-2 CPT 95907 | not published | not published | $55.07 – $444.41 | 8 |
| Nerve conduction studies 13+ CPT 95913 | $151.14 | $274.80 | $147.99 – $928.55 | 8 |
| Nerve conduction studies 3-4 CPT 95908 | not published | not published | $67.52 – $544.95 | 8 |
| Nerve conduction studies 5-6 CPT 95909 | not published | not published | $81.42 – $544.95 | 8 |
| Nerve conduction studies 9-10 CPT 95911 | not published | not published | $118.33 – $928.55 | 8 |
| Nerve graft add-on CPT 64901 | not published | not published | $731.00 – $1,496.00 | 3 |
| Nerve graft add-on CPT 64902 | not published | not published | $731.00 – $1,496.00 | 3 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $1,254.00 – $18,062.34 | 11 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $1,254.00 – $18,062.34 | 11 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $1,533.95 – $7,293.65 | 11 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $1,411.00 – $4,246.62 | 10 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $1,594.00 – $7,293.65 | 11 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $1,254.00 – $18,062.34 | 11 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $991.00 – $18,062.34 | 11 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $1,155.24 – $18,062.34 | 10 |
| Nerve surgery CPT 64859 | not published | not published | $371.99 – $1,496.00 | 3 |
| Nerve teasing preparations CPT 88362 | not published | not published | $118.00 – $1,658.24 | 9 |
| Nesiritide injection HCPCS J2325 | not published | not published | $115.91 – $115.91 | 1 |
| Neurectomy foot CPT 28055 | not published | not published | $598.12 – $4,019.07 | 11 |
| Neurectomy hamstring CPT 27325 | not published | not published | $863.54 – $4,019.07 | 11 |
| Neurectomy popliteal CPT 27326 | not published | not published | $799.55 – $4,019.07 | 11 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $46.30 – $1,579.00 | 10 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $283.18 – $1,496.00 | 2 |
| Neurolysis celiac plexus CPT 64680 | not published | not published | $244.09 – $2,100.00 | 11 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $359.69 – $1,820.41 | 11 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | not published | not published | $101.06 – $273.81 | 8 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $782.82 – $4,019.07 | 11 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $496.72 – $4,019.07 | 11 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $1,547.42 – $18,062.34 | 10 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $1,254.00 – $7,293.65 | 11 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $42.13 – $90.16 | 8 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $79.61 – $170.37 | 8 |
| Neutron beam tx complex CPT 77423 | not published | not published | $126.39 – $1,156.94 | 8 |
| New Patient Office Visit (level 2) CPT 99202 | $452.19 | $822.16 | $72.68 – $99.67 | 2 |
| New Patient Office Visit (level 3) CPT 99203 | $568.83 | $1,034.24 | $125.63 – $155.85 | 2 |
| New Patient Office Visit (level 4) CPT 99204 | $729.30 | $1,326.00 | $204.47 – $234.30 | 2 |
| New Patient Office Visit (level 5) CPT 99205 | $996.36 | $1,811.56 | $277.89 – $309.61 | 2 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $257.45 – $550.94 | 8 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $262.99 – $562.80 | 8 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $1,411.38 – $4,386.82 | 3 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $14.00 – $52.56 | 9 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $42.84 – $91.68 | 9 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.10 – $0.14 | 3 |
| Nikaidoh proc CPT 33782 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $825.91 – $1,767.45 | 7 |
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.