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 |
|---|---|---|---|---|
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $818.95 – $6,662.61 | 9 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,459.00 – $8,091.55 | 11 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,078.40 – $12,442.83 | 9 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,557.86 – $12,442.83 | 9 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.91 – $4.19 | 4 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,471.70 – $6,734.39 | 8 |
| Part removal of metatarsal CPT 28110 | not published | not published | $449.86 – $6,734.39 | 11 |
| Part removal of metatarsal CPT 28113 | not published | not published | $652.94 – $6,734.39 | 11 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $479.81 – $6,734.39 | 11 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,341.07 – $6,734.39 | 8 |
| Passy muir valve metal trach HCPCS L8501 | not published | not published | $147.88 – $316.46 | 8 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $12.00 – $12.83 | 2 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $135.64 – $350.65 | 8 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $72.22 – $350.65 | 8 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $47.66 – $64.90 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $33.59 – $107.25 | 8 |
| Patient recorded spirometry CPT 94014 | not published | not published | $50.13 – $919.44 | 8 |
| Patient recorded spirometry CPT 94015 | not published | not published | $45.96 – $544.95 | 8 |
| Patten bottom HCPCS L2370 | not published | not published | $337.23 – $721.67 | 8 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $545.81 | 7 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $373.79 – $524.63 | 3 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $705.15 | 7 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $28.26 – $60.48 | 7 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $192.96 – $1,496.00 | 9 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,120.99 – $4,246.62 | 11 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $854.13 – $854.13 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $514.02 – $514.02 | 1 |
| Ped crit care transport CPT 99466 | not published | not published | $322.04 – $355.91 | 2 |
| Ped crit care transport addl CPT 99467 | not published | not published | $161.51 – $178.69 | 2 |
| Ped critical care initial CPT 99471 | not published | not published | $1,188.32 – $1,188.32 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $607.22 – $607.22 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $73.40 – $273.81 | 8 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $123.75 – $350.61 | 8 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $8,840.49 – $18,918.65 | 8 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $2,638.38 – $5,646.13 | 8 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $980.72 – $4,246.62 | 11 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,638.09 – $3,505.51 | 8 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,933.98 – $4,138.72 | 8 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,532.40 – $3,279.34 | 8 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $832.27 – $1,781.06 | 8 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $587.26 – $587.26 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $1,460.59 – $1,460.59 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $29,663.96 – $57,844.73 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $22.78 – $279.30 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $102.46 – $266.98 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $149.13 – $290.81 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $143.67 – $539.79 | 9 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $67.02 – $201.27 | 9 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $105.11 – $331.74 | 9 |
| Peginesatide injection HCPCS J0890 | not published | not published | $21.30 – $21.30 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,169.09 – $1,677.80 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,929.34 – $7,662.21 | 9 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $225.66 – $440.05 | 8 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $610.60 – $1,306.68 | 8 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $453.23 – $969.91 | 8 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $442.33 – $946.59 | 8 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $336.48 – $720.07 | 8 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $359.52 – $769.37 | 8 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $533.32 – $1,141.30 | 8 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,715.25 | $6,755.00 | $168.70 – $361.01 | 8 |
| Pelvic CT scan (with contrast) CPT 72193 | $3,715.25 | $6,755.00 | $168.70 – $445.05 | 8 |
| Pelvic CT scan (without contrast) CPT 72192 | $3,535.95 | $6,429.00 | $100.55 – $265.85 | 8 |
| Pelvic exenteration CPT 45126 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,655.15 – $3,542.02 | 8 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,833.97 | $6,970.85 | $335.54 – $718.05 | 8 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $280.69 – $718.05 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $2,060.27 | $3,745.95 | $229.48 – $491.09 | 8 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,617.90 – $14,934.65 | 10 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,363.34 – $14,934.65 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,140.70 | $2,074.00 | $100.55 – $215.17 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $962.50 | $1,750.00 | $37.81 – $215.17 | 9 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $166.13 – $355.52 | 8 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $60.64 – $118.26 | 9 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.30 – $13.56 | 9 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $424.09 – $907.56 | 7 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.52 – $38.07 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $30.76 – $63.55 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.89 – $1.26 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $90.57 – $90.57 | 1 |
| Penile injection CPT 54235 | $329.12 | $598.40 | $112.25 – $1,496.00 | 9 |
| Penile vascular study CPT 93980 | not published | not published | $83.82 – $215.17 | 8 |
| Penile vascular study CPT 93981 | not published | not published | $71.84 – $215.17 | 8 |
| Penile venous occlusion CPT 37790 | not published | not published | $741.82 – $7,255.07 | 11 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,101.53 – $7,255.07 | 11 |
| Penis study CPT 54240 | not published | not published | $63.17 – $1,496.00 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $85.77 – $127.20 | 4 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $25.08 – $25.08 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $201.53 – $201.53 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $19.30 – $86.77 | 7 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,697.99 – $5,261.07 | 9 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $689.85 – $21,878.19 | 10 |
| Perc d-e cor revasc chro add HCPCS C9608 | $16,253.10 | $29,551.10 | $731.00 – $1,496.00 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $19,992.17 | $36,349.40 | $4,386.82 – $37,729.94 | 9 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $16,667.31 | $30,304.20 | $731.00 – $1,496.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $21,004.78 | $38,190.50 | $4,386.82 – $23,760.10 | 9 |
| Perc d-e cor stent ather br HCPCS C9603 | $19,008.08 | $34,560.15 | $731.00 – $1,496.00 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | $37,853.94 | $68,825.35 | $4,386.82 – $37,729.94 | 9 |
| Perc drug-el cor stent bran HCPCS C9601 | $19,735.51 | $35,882.75 | $731.00 – $1,496.00 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | $21,004.78 | $38,190.50 | $4,386.82 – $23,760.10 | 9 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $516.70 – $12,442.83 | 10 |
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.