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 |
|---|---|---|---|---|
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $435.49 | 8 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $1,447.71 | 8 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $708.34 | 8 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $34.69 – $74.24 | 8 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $216.94 – $464.25 | 8 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $138.10 – $1,579.00 | 10 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $48.38 – $54.53 | 2 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $20.36 – $26.13 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $542.30 | $986.00 | $22.00 – $55.79 | 9 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $143.61 – $280.04 | 9 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $306.19 – $655.25 | 8 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $825.91 – $1,780.43 | 8 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $619.06 – $1,780.43 | 8 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $764.14 – $1,780.43 | 8 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $22.49 | 9 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $27,620.40 – $36,093.94 | 2 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $89.78 – $95.45 | 2 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $89.78 – $95.45 | 2 |
| Positional change of finger CPT 26555 | not published | not published | $1,459.00 – $14,934.65 | 11 |
| Positional nystagmus test CPT 92532 | not published | not published | $26.79 – $26.79 | 1 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $69.77 – $1,330.59 | 7 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $140.02 – $1,330.59 | 7 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $199.78 – $1,330.59 | 7 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $53.50 | 7 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $731.00 – $1,496.00 | 2 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $611.64 – $1,308.91 | 8 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $665.02 – $1,423.14 | 8 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $890.08 – $1,904.77 | 8 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,745.96 – $3,736.35 | 8 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $2,235.96 – $4,784.95 | 8 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $821.42 – $1,757.84 | 8 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $682.01 – $1,459.50 | 8 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,906.55 – $4,080.02 | 8 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,607.09 – $3,439.17 | 8 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $547.30 – $1,171.22 | 8 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $2,131.40 – $4,561.20 | 8 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,366.86 – $2,925.08 | 8 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $358.89 – $795.90 | 7 |
| Postpartum Care Only CPT 59430 | not published | not published | $273.39 – $4,386.82 | 3 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $731.00 – $1,496.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $73.00 | $132.72 | $3.00 – $10.12 | 9 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.20 – $0.33 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $12.48 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $77.96 | $141.75 | $3.00 – $10.19 | 9 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $4.32 – $4.62 | 2 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $7.41 – $7.92 | 2 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $11.55 – $12.35 | 2 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $9.14 – $9.77 | 2 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $4.68 – $5.01 | 2 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $7.52 – $8.03 | 2 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $7.65 – $8.18 | 2 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $293.18 | 7 |
| Pq biliary strict dil s&i CPT 74363 | $1,400.86 | $2,547.02 | $108.32 – $407.00 | 3 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $83.34 – $150.12 | 3 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,733.35 | $17,697.00 | $720.06 – $14,934.65 | 9 |
| Pq thr inj ext pse CPT 36002 | $731.17 | $1,329.40 | $156.83 – $1,579.00 | 10 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $4,400.55 | $8,001.00 | $314.18 – $8,185.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,400.55 | $8,001.00 | $656.31 – $8,185.00 | 10 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,400.55 | $8,001.00 | $617.35 – $8,185.00 | 10 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $386.12 – $752.94 | 9 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $104.04 – $142.40 | 2 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $1,055.86 – $6,734.39 | 11 |
| Pr application of long arm splint CPT 29105 | $359.51 | $653.65 | $63.93 – $1,496.00 | 9 |
| Pr application splint static short arm CPT 29125 | $387.09 | $703.80 | $61.02 – $1,496.00 | 9 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $6.67 – $76.88 | 8 |
| Pr biopsy skin punch single lesion CPT 11104 | $434.31 | $789.65 | $71.05 – $1,496.00 | 9 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $921.39 – $26,424.41 | 11 |
| Pr correction hammertoe CPT 28285 | not published | not published | $592.58 – $6,734.39 | 11 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $68.84 | $125.16 | $18.10 – $77.12 | 8 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $432.34 – $4,386.82 | 3 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,912.54 | $3,477.35 | $370.14 – $4,386.82 | 3 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $235.50 – $7,255.07 | 11 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $554.46 | $1,008.10 | $54.58 – $1,496.00 | 9 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $113.20 – $123.81 | 2 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $160.13 – $174.91 | 2 |
| Prealbumin CPT 84134 | $123.61 | $224.75 | $10.00 – $31.22 | 9 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $12.41 – $12.45 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $28.00 – $28.12 | 2 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.95 – $0.95 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.55 – $0.77 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.02 | 4 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $225.71 – $483.02 | 8 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $210.34 – $1,330.59 | 7 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $140.02 – $1,330.59 | 7 |
| Pregabalin - sendout CPT 80366 | $15.95 | $29.00 | $35.46 – $35.46 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $302.25 – $3,949.47 | 11 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $32.21 | 8 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,141.11 | $2,074.75 | $100.55 – $215.17 | 9 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,141.11 | $2,074.75 | $100.55 – $215.17 | 9 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $150.19 – $150.19 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $660.63 – $4,386.82 | 3 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $207.67 – $467.10 | 7 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $358.89 – $795.90 | 7 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $358.89 – $795.90 | 7 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $3,094.56 – $6,622.36 | 8 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,391.89 – $7,258.64 | 8 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $3,134.29 – $6,707.38 | 8 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,455.29 – $7,394.32 | 8 |
| Preparation for bladder xray CPT 51605 | not published | not published | $58.52 – $1,496.00 | 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.