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 |
|---|---|---|---|---|
| Percut ablate liver rf CPT 47382 | not published | not published | $1,111.89 – $12,442.83 | 9 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $475.26 – $4,386.82 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $47.74 – $69.25 | 4 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $317.68 – $4,386.82 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,747.96 | $4,996.30 | $350.94 – $6,535.00 | 10 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,077.63 – $8,058.70 | 11 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $417.98 – $6,662.61 | 11 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $21.04 – $121.42 | 8 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $44.53 – $44.53 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $44.05 – $44.05 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $633.09 – $11,452.76 | 11 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $46.75 – $1,124.62 | 9 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $288.75 – $822.80 | 9 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $38.34 – $38.34 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $26.75 – $57.24 | 8 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $2,347.37 – $5,023.37 | 8 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.49 – $0.77 | 2 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $12.34 – $12.34 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $10,302.30 | $18,731.45 | $1,163.19 – $4,491.00 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $190.81 – $1,579.00 | 10 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $150.77 – $1,579.00 | 10 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,714.33 – $19,483.75 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,062.63 – $19,483.75 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $1,299.10 – $23,760.10 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $1,102.36 – $37,729.94 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $1,141.77 – $23,760.10 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $868.75 – $23,760.10 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $436.30 – $1,496.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $351.64 – $12,442.83 | 10 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $639.16 – $12,442.83 | 10 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $658.45 – $12,442.83 | 10 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $374.47 | $680.85 | $132.20 – $1,579.00 | 10 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $821.05 – $6,734.39 | 11 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $753.41 – $6,734.39 | 10 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $991.00 – $4,386.82 | 2 |
| Perq transcath closure each CPT 93592 | $6,890.02 | $12,527.30 | $584.22 – $1,496.00 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $986.11 – $37,729.94 | 9 |
| Perq transcath cls aortic CPT 93591 | $18,697.66 | $33,995.75 | $1,331.26 – $37,729.94 | 9 |
| Perq transcath cls mitral CPT 93590 | $18,697.66 | $33,995.75 | $1,617.81 – $37,729.94 | 9 |
| Perq transcath septal reduxn CPT 93583 | $7,249.06 | $13,180.10 | $1,106.26 – $1,872.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $866.62 – $4,386.82 | 3 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $416.41 – $6,734.39 | 11 |
| Perq tx malar fracture CPT 21355 | not published | not published | $501.16 – $6,823.84 | 11 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $671.49 – $12,184.12 | 11 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,150.06 – $6,823.84 | 11 |
| Pertussis ag if CPT 87265 | not published | not published | $9.00 – $25.64 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.20 – $33.54 | 9 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.90 – $116.80 | 9 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $107.30 – $114.73 | 2 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $43.13 – $46.12 | 2 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,005.00 – $2,943.10 | 9 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,005.00 – $2,943.10 | 9 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $710.43 – $2,943.10 | 8 |
| Pet image full body CPT 78813 | not published | not published | $944.67 – $2,943.10 | 9 |
| Pet image ltd area CPT 78811 | not published | not published | $731.39 – $2,664.63 | 9 |
| Pet image skull-thigh CPT 78812 | not published | not published | $923.66 – $2,943.10 | 9 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,005.00 – $2,943.10 | 9 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $384.49 – $822.80 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $109.78 – $1,005.00 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $12,859.69 | $23,381.25 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.61 – $41.97 | 7 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $28.55 – $61.10 | 7 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.10 – $21.61 | 7 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $428.92 – $6,734.39 | 11 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $36.23 – $36.23 | 1 |
| Ph body fluid CPT 83986 | $60.64 | $110.25 | $3.58 – $7.66 | 9 |
| Phencyclidine (pcp) CPT 83992 | $17.05 | $31.00 | $17.00 – $52.71 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $44.15 – $51.62 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $210.10 | $382.00 | $8.00 – $32.74 | 9 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $288.62 – $733.87 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.02 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.31 – $206.09 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.59 – $1.03 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $224.54 | $408.25 | $9.00 – $28.36 | 9 |
| Phlebotomy therapeutic CPT 99195 | $137.44 | $249.90 | $127.96 – $273.84 | 8 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $405.98 – $6,498.69 | 10 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $498.17 – $6,498.69 | 10 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $100.69 – $100.69 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $149.16 – $149.16 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $53.73 – $53.73 | 1 |
| Phosphorus CPT 84100 | $186.74 | $339.52 | $3.00 – $10.14 | 9 |
| Phosphorus 24 hour urine CPT 84105 | $6.60 | $12.00 | $4.00 – $12.37 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $56.74 – $170.51 | 8 |
| Photochemotherapy puva CPT 96912 | not published | not published | $56.74 – $145.11 | 8 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $219.83 – $836.68 | 8 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $34.94 – $1,496.00 | 3 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $75.38 – $1,496.00 | 3 |
| Photo patch test CPT 95052 | not published | not published | $9.07 – $121.42 | 8 |
| Photopheresis CPT 36522 | not published | not published | $144.88 – $8,964.44 | 9 |
| Photosensitivity tests CPT 95056 | not published | not published | $75.14 – $273.84 | 8 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $42.00 – $107.25 | 9 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $42.00 – $350.65 | 9 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $27.82 – $74.31 | 9 |
| Physician standby services CPT 99360 | not published | not published | $90.12 – $90.12 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $148.92 – $164.74 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.79 – $4.76 | 4 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $46.71 – $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.