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 |
|---|---|---|---|---|
| Nuclear exam of tear flow CPT 78660 | not published | not published | $160.85 – $822.80 | 9 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $353.00 – $353.00 | 1 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $46.61 | 8 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $125.49 – $480.25 | 9 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $56.95 – $480.25 | 9 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $75.59 – $480.25 | 9 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $77.07 – $480.25 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $6,603.99 | $12,007.25 | $515.76 – $2,664.63 | 8 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $59.66 – $480.25 | 9 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $527.81 – $1,129.51 | 8 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $623.51 | 7 |
| Nursing fac care supervision CPT 99379 | not published | not published | $82.83 – $82.83 | 1 |
| Nursing fac care supervision CPT 99380 | not published | not published | $129.53 – $129.53 | 1 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $182.42 – $200.83 | 2 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $113.72 – $124.81 | 2 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $105.62 – $233.39 | 9 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,333.45 – $2,853.58 | 7 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $84.46 – $164.70 | 9 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Observation direct referral from physician office for admission HCPCS G0379 | $955.30 | $1,736.90 | $572.76 – $1,225.71 | 7 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $290.28 – $320.01 | 2 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $136.34 – $149.98 | 2 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $221.93 – $244.65 | 2 |
| Observation per hour HCPCS G0378 | $96.42 | $175.31 | $38.57 – $38.57 | 1 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | $634.42 | $1,153.50 | $74.86 – $160.20 | 8 |
| Obstetrics panel CPT 80055 | $634.42 | $1,153.50 | $26.00 – $102.31 | 9 |
| Obtaining screen pap smear HCPCS Q0091 | $37.22 | $67.68 | $27.82 – $59.53 | 8 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $86.69 – $215.17 | 8 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $40.21 – $118.26 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $387.83 – $6,662.61 | 9 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $60.97 – $118.89 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.67 – $1.95 | 4 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $208.10 – $405.79 | 9 |
| Ocular function screen CPT 99172 | not published | not published | $20.81 – $20.81 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $9.07 – $9.07 | 1 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $7.14 – $7.52 | 2 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $313.36 – $1,579.00 | 10 |
| Ocular reconst transplant CPT 65780 | not published | not published | $882.81 – $8,091.55 | 11 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,755.00 – $10,952.24 | 11 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,713.65 – $8,091.55 | 11 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $62.23 – $133.18 | 8 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $170.71 – $600.05 | 7 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $170.71 – $621.26 | 7 |
| Office emergency care CPT 99058 | not published | not published | $31.75 – $31.75 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $135.64 – $136.66 | 2 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $194.49 – $206.30 | 2 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $253.51 – $277.88 | 2 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $85.59 – $90.58 | 2 |
| Offset knee joint each HCPCS L2390 | not published | not published | $125.79 – $269.19 | 8 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $239.73 – $513.02 | 8 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $1.06 – $1.56 | 4 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $3.33 – $4.80 | 4 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $38.70 – $41.01 | 2 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $61.94 – $64.90 | 2 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $19.60 – $20.96 | 2 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $45.74 – $90.85 | 9 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $533.73 – $4,491.00 | 3 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $8,288.22 | 8 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $5,371.85 | 8 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $8,288.22 | 8 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $8,288.22 | 8 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $8,288.22 | 8 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $15,393.02 | 8 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $6,668.24 | 8 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,088.98 | 8 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,240.04 | 7 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $379.98 | 7 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $6,143.94 | 7 |
| Oncology prostate prob score CPT 81539 | $836.00 | $1,520.00 | $760.00 – $1,626.40 | 7 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $1,112.80 | 8 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $8,025.00 | 8 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $1,919.58 | 8 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $557.47 | 8 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $137.84 | 8 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $137.84 | 9 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $4,344.20 | 8 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $8,288.22 | 8 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $8,288.22 | 8 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $7,704.00 | 8 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $16,640.64 | 8 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.02 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.10 – $0.16 | 4 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $14.85 – $14.85 | 1 |
| One way chest drain valve HCPCS A7040 | not published | not published | $85.23 – $91.14 | 2 |
| Oocyte identification CPT 89254 | not published | not published | $163.86 – $350.65 | 7 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,836.69 – $4,386.82 | 3 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $680.60 – $8,058.70 | 9 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $1,139.48 – $4,386.82 | 3 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $344.96 – $4,386.82 | 3 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $1,139.60 – $12,184.12 | 11 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $1,005.90 – $12,184.12 | 11 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $1,016.97 – $8,058.70 | 11 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,189.00 – $4,386.82 | 3 |
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.