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 |
|---|---|---|---|---|
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $25.64 | 8 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $474.04 – $924.37 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Orchiectomy partial CPT 54522 | not published | not published | $898.23 – $7,255.07 | 11 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,088.88 – $7,369.13 | 9 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $660.17 – $7,369.13 | 11 |
| Organic acids total quant ea spec CPT 83918 | $323.95 | $589.00 | $12.00 – $50.50 | 9 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $47.41 – $92.45 | 9 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $29.73 – $57.97 | 9 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $177.67 – $3,193.45 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $14.06 – $19.72 | 4 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.55 – $64.09 | 8 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $324.71 – $694.88 | 8 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $562.31 – $1,203.34 | 8 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,441.77 – $3,085.39 | 8 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $787.21 – $1,684.63 | 8 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $304.55 – $651.74 | 8 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $361.14 – $772.84 | 8 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $118.75 – $254.12 | 8 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $304.55 – $651.74 | 8 |
| Orthopantogram CPT 70355 | not published | not published | $12.42 – $179.11 | 9 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $36.18 – $77.43 | 7 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $51.56 – $62.95 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $37.81 – $121.42 | 7 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.84 – $134.48 | 7 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $39.27 – $84.04 | 7 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $36.18 – $77.43 | 7 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.84 – $110.94 | 7 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $160.94 – $344.41 | 8 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $511.39 – $1,094.37 | 8 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $100.33 – $214.58 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $375.75 – $804.10 | 8 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,115.05 – $2,386.21 | 8 |
| Oscillation chest wall mechanical per session CPT 94669 | $230.48 | $419.05 | $29.63 – $450.70 | 8 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.27 – $84.04 | 7 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.26 – $60.48 | 7 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $105.25 – $225.24 | 7 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $80.14 – $171.50 | 7 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $11.02 – $23.58 | 7 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $66.01 – $141.26 | 7 |
| Osmolality blood CPT 83930 | $112.03 | $203.69 | $5.00 – $14.15 | 9 |
| Osmolality urine CPT 83935 | $115.64 | $210.25 | $5.00 – $14.59 | 9 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $489.96 – $6,734.39 | 11 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $880.25 – $6,734.39 | 11 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $731.00 – $1,496.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,083.81 – $26,424.41 | 9 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,491.64 – $14,934.65 | 10 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,860.56 – $14,934.65 | 10 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $20.77 – $71.07 | 8 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $20.77 – $89.70 | 8 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $20.77 – $107.42 | 8 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,459.00 – $14,934.65 | 11 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $2,457.61 – $14,934.65 | 8 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $541.09 – $1,496.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $2,404.32 – $14,934.65 | 8 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $2,673.05 – $14,934.65 | 8 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,261.00 – $14,934.65 | 11 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,675.97 – $26,424.41 | 8 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,034.50 – $14,934.65 | 11 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $4.22 – $4.52 | 2 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $102.42 – $109.52 | 2 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $5.72 – $6.11 | 2 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $7.50 – $8.02 | 2 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $9.98 – $10.66 | 2 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $3.62 – $3.86 | 2 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $18.95 – $20.25 | 2 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $17.85 – $19.09 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | $388.96 | $707.20 | $95.24 – $203.81 | 8 |
| Ot evaluation low complexity patient/family CPT 97165 | $291.72 | $530.40 | $95.24 – $203.81 | 8 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $340.34 | $618.80 | $95.24 – $203.81 | 8 |
| Other bone graft microvasc CPT 20962 | not published | not published | $4,035.72 – $14,934.65 | 8 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $49.50 | 9 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $18.64 – $76.88 | 8 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $14.82 – $59.53 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $46.42 – $99.34 | 8 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $42.91 – $91.83 | 8 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $223.46 | $406.30 | $26.25 – $56.18 | 8 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $13.94 – $39.04 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $715.23 – $6,823.84 | 10 |
| Ot re-evaluation patient/family CPT 97168 | $275.82 | $501.50 | $64.54 – $138.12 | 8 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $181.39 | $329.80 | $32.85 – $70.30 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $96.30 | $175.10 | $18.12 – $38.78 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $96.30 | $175.10 | $19.35 – $41.41 | 8 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $198.22 | $360.40 | $27.52 – $58.89 | 8 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $156.14 | $283.90 | $30.98 – $66.30 | 8 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $215.98 | $392.70 | $30.50 – $65.27 | 8 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Out of office emerg med serv CPT 99060 | not published | not published | $36.68 – $36.68 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $65.87 – $140.96 | 8 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $198.91 – $425.67 | 8 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,172.93 – $10,295.98 | 9 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $546.89 – $546.89 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $11.00 – $27.18 | 9 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.73 – $1.72 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.06 – $0.11 | 4 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $6.16 – $6.16 | 1 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.54 – $1.54 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $0.60 – $2.30 | 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.