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 |
|---|---|---|---|---|
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $1,018.58 – $8,058.70 | 11 |
| Nipple exploration CPT 19110 | not published | not published | $533.99 – $8,058.70 | 11 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $8.00 – $29.13 | 9 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $691.95 – $988.11 | 2 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | not published | not published | $1.53 – $2.14 | 4 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $34.22 – $66.73 | 9 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $205.51 – $400.75 | 9 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $97.43 – $1,820.41 | 10 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $124.76 – $1,579.00 | 10 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $116.49 – $1,820.41 | 10 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $68.15 – $1,579.00 | 10 |
| Njx cath slct p angrph mapca CPT 93575 | not published | not published | $141.01 – $1,496.00 | 2 |
| Njx cath slct p-art angrp bi CPT 93573 | not published | not published | $95.41 – $1,496.00 | 2 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $106.22 – $1,496.00 | 2 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $886.74 – $4,019.07 | 10 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | not published | $57.52 – $1,496.00 | 2 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $136.92 – $2,100.00 | 10 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $169.24 – $2,100.00 | 10 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $131.01 – $2,100.00 | 10 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $163.64 – $2,100.00 | 10 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | not published | not published | $231.35 – $2,891.00 | 10 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $814.17 – $11,035.58 | 11 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nl removal calculus CPT 50060 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,918.81 | $3,488.75 | $327.00 – $822.80 | 9 |
| Nm imaging bone/joint whole body CPT 78306 | $1,918.81 | $3,488.75 | $327.00 – $822.80 | 9 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,918.81 | $3,488.75 | $237.52 – $822.80 | 9 |
| Nm imaging gastric emptying study CPT 78264 | $1,918.81 | $3,488.75 | $310.00 – $822.80 | 9 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,918.81 | $3,488.75 | $310.00 – $822.80 | 9 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $3,088.94 | $5,616.25 | $512.44 – $1,117.53 | 8 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,487.92 | $4,523.50 | $172.30 – $1,117.53 | 9 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,487.92 | $4,523.50 | $365.42 – $1,117.53 | 8 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $3,178.86 | $5,779.75 | $280.16 – $822.80 | 8 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,069.06 | $1,943.75 | $73.72 – $480.25 | 9 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $3,426.30 – $7,332.28 | 8 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $4,304.46 – $9,211.54 | 8 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $4,386.82 – $55,401.22 | 8 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $199.00 – $822.80 | 9 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $77.77 – $166.43 | 8 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $35.92 – $76.88 | 6 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $35.92 – $76.88 | 6 |
| Non-imaging heart function CPT 78414 | not published | not published | $69.20 – $1,117.53 | 9 |
| Noninv pace analysis CPT 93724 | $764.01 | $1,389.11 | $66.57 – $632.15 | 8 |
| Non-molded lacer HCPCS L2320 | not published | not published | $257.98 – $552.08 | 8 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $335.54 – $718.05 | 7 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.08 – $0.08 | 2 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $2,143.60 – $4,587.30 | 8 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $119.69 – $1,691.78 | 8 |
| Npm1 gene CPT 81310 | not published | not published | $246.52 – $527.55 | 8 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $369.86 – $12,184.12 | 9 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $264.49 – $12,184.12 | 9 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | not published | not published | $34.99 – $37.88 | 2 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | not published | not published | $6.34 – $7.11 | 2 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | not published | not published | $31.27 – $34.16 | 2 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $165.10 – $928.55 | 8 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $119.57 – $136.21 | 2 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $18.50 – $39.59 | 8 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $28.30 – $60.56 | 8 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $10.10 – $21.61 | 8 |
| Nras gene variants exon 2&3 CPT 81311 | $1,015.16 | $1,845.75 | $295.79 – $632.99 | 8 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $1,429.37 – $3,680.15 | 8 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,254.00 – $10,886.92 | 11 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,254.00 – $18,062.34 | 11 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,254.00 – $18,062.34 | 11 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,254.00 – $18,062.34 | 11 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,459.00 – $18,062.34 | 11 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,459.00 – $18,062.34 | 11 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,459.00 – $18,062.34 | 11 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,459.00 – $18,062.34 | 11 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $1,352.53 – $18,062.34 | 9 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $260.71 – $1,496.00 | 2 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $1,635.70 – $14,525.57 | 9 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $1,505.38 – $14,525.57 | 9 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $716.87 – $14,525.57 | 10 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $272.70 – $14,525.57 | 10 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $389.24 – $14,525.57 | 10 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $239.90 – $14,525.57 | 10 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $1,869.18 – $14,525.57 | 9 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $218.85 – $14,525.57 | 10 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $760.31 – $14,525.57 | 10 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $678.32 – $14,525.57 | 10 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $919.95 – $7,673.63 | 11 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $240.33 – $12,184.12 | 8 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $240.33 – $12,184.12 | 8 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $677.76 – $3,663.36 | 9 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $230.61 – $1,496.00 | 3 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $443.64 | 8 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $443.64 | 8 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $443.64 | 8 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $1,109.12 | 8 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | not published | not published | $55.57 – $55.57 | 1 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | not published | not published | $82.45 – $82.45 | 1 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | not published | not published | $109.82 – $109.82 | 1 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | not published | not published | $53.73 – $53.73 | 1 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | not published | not published | $27.33 – $27.33 | 1 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | not published | not published | $52.33 – $52.33 | 1 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $511.54 – $1,156.94 | 2 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $509.36 – $1,156.94 | 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.