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 |
|---|---|---|---|---|
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $437.35 – $3,309.55 | 9 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $922.30 – $11,452.76 | 11 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $2,118.22 – $12,184.12 | 8 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $984.44 – $14,934.65 | 9 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $804.76 – $12,184.12 | 11 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $1,084.16 – $6,823.84 | 11 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,858.85 – $6,734.39 | 9 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $898.69 – $14,934.65 | 10 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $1,084.43 – $14,934.65 | 10 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,483.54 – $8,185.00 | 10 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $837.17 – $14,934.65 | 8 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Ophthalmic biometry CPT 92136 | not published | not published | $24.88 – $273.84 | 8 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $132.94 – $1,496.00 | 2 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $451.50 – $727.46 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $16.46 – $76.88 | 8 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $43.56 – $273.84 | 9 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $62.25 – $215.17 | 9 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $31.59 – $215.17 | 9 |
| Opioids & opiate analogs 3/4 CPT 80363 | $12.65 | $23.00 | not published | 0 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $446.30 – $1,496.00 | 2 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $3,083.00 – $4,386.82 | 3 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $2,074.00 – $4,386.82 | 3 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $3,083.00 – $4,395.40 | 3 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $2,074.00 – $4,386.82 | 3 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $2,005.97 – $4,386.82 | 3 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $402.58 – $1,496.00 | 2 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $588.49 – $4,386.82 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $918.29 – $90,655.90 | 9 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $477.15 – $39,929.07 | 11 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $477.00 – $22,933.75 | 11 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,004.67 – $13,116.82 | 11 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $1,277.75 – $63,510.93 | 9 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,640.51 – $12,184.12 | 10 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,928.98 – $12,184.12 | 9 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,645.05 – $12,184.12 | 8 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $609.17 – $12,184.12 | 11 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,566.12 – $12,184.12 | 9 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,532.70 – $12,184.12 | 9 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,670.46 – $12,184.12 | 8 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,154.58 – $12,184.12 | 9 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $1,047.85 – $12,184.12 | 9 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $1,105.83 – $12,184.12 | 10 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,364.65 – $12,184.12 | 10 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $973.82 – $12,184.12 | 10 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $882.58 – $12,184.12 | 10 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,216.25 – $12,184.12 | 10 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,523.44 – $12,184.12 | 9 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $401.31 – $858.80 | 7 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $868.75 – $868.75 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $22.09 – $121.42 | 8 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $34.36 – $121.42 | 8 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $63.21 – $72.22 | 2 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $29.24 – $29.24 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $992.87 – $14,934.65 | 11 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $875.32 – $14,934.65 | 11 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $895.26 – $14,934.65 | 11 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,099.03 – $14,934.65 | 11 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,099.59 – $14,934.65 | 11 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,769.09 – $12,184.12 | 10 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,618.90 – $12,184.12 | 8 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $1,071.32 – $12,184.12 | 8 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $3,076.73 – $12,184.12 | 8 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $2,126.27 – $12,184.12 | 8 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $875.21 – $6,734.39 | 11 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $1,191.65 – $14,934.65 | 11 |
| Optx lunate dislocation CPT 25695 | not published | not published | $970.75 – $14,934.65 | 11 |
| Optx medial ankle fx CPT 27766 | not published | not published | $922.69 – $14,934.65 | 11 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,218.36 – $12,184.12 | 11 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,578.77 – $12,184.12 | 11 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $745.07 – $12,184.12 | 11 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $938.57 – $12,184.12 | 11 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $944.60 – $12,184.12 | 9 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,202.85 – $12,184.12 | 8 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,655.41 – $26,424.41 | 11 |
| Optx post ankle fx CPT 27769 | not published | not published | $1,107.77 – $14,934.65 | 10 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $1,345.52 – $26,424.41 | 11 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,594.00 – $36,087.88 | 11 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,026.17 – $14,934.65 | 11 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $966.35 – $14,934.65 | 11 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $930.15 – $14,934.65 | 11 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $1,206.96 – $14,934.65 | 11 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,457.80 – $14,934.65 | 11 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,378.57 – $14,934.65 | 11 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,032.31 – $14,934.65 | 11 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,459.00 – $14,934.65 | 11 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,329.98 – $14,934.65 | 11 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,403.32 – $26,424.41 | 11 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $958.17 – $14,934.65 | 11 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $880.79 – $14,934.65 | 11 |
| Optx thigh fx CPT 27269 | not published | not published | $1,411.00 – $14,934.65 | 8 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,201.11 – $6,823.84 | 11 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,123.36 – $14,934.65 | 11 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $956.23 – $14,934.65 | 11 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $953.93 – $14,934.65 | 10 |
| Oral aprepitant HCPCS J8501 | not published | not published | $3.47 – $6.95 | 4 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $225.63 | 8 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.30 – $4.52 | 4 |
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.