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 |
|---|---|---|---|---|
| Preparation palate mold CPT 42280 | not published | not published | $164.87 – $1,496.00 | 9 |
| Prepare donor heart CPT 33944 | not published | not published | $498.45 – $4,386.82 | 3 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $638.47 – $4,386.82 | 3 |
| Prepare donor intestine CPT 44715 | not published | not published | $547.63 – $4,386.82 | 3 |
| Prepare donor lung double CPT 32856 | not published | not published | $551.11 – $4,386.82 | 3 |
| Prepare donor lung single CPT 32855 | not published | not published | $447.71 – $4,386.82 | 3 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $50.12 – $107.25 | 6 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $109.29 – $4,386.82 | 3 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Prepare penis study CPT 54230 | not published | not published | $121.23 – $1,496.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $282.79 – $1,496.00 | 2 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,606.10 – $5,577.05 | 8 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,430.65 – $5,201.59 | 8 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $2,088.64 – $4,469.69 | 8 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,425.89 – $5,191.40 | 8 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $330.31 – $4,386.82 | 3 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $190.76 – $1,496.00 | 2 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $577.42 – $4,386.82 | 3 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $412.58 – $4,386.82 | 3 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $734.31 – $4,386.82 | 3 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $577.06 – $4,386.82 | 3 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $757.42 – $4,386.82 | 3 |
| Prep donor liver/venous CPT 47146 | not published | not published | $494.10 – $4,386.82 | 3 |
| Prep donor liver whole CPT 47143 | not published | not published | $547.63 – $4,386.82 | 3 |
| Prep donor pancreas CPT 48551 | not published | not published | $377.45 – $4,386.82 | 2 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $355.47 – $4,386.82 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $297.65 – $4,386.82 | 3 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $4,386.82 – $14,606.52 | 8 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $248.77 – $1,496.00 | 2 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $286.75 – $4,386.82 | 3 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $271.69 – $4,386.82 | 3 |
| Prep renal graft/venous CPT 50327 | not published | not published | $327.02 – $4,386.82 | 3 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $390.97 – $2,100.00 | 11 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $331.54 – $3,109.69 | 11 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $68.15 – $1,496.00 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $370.26 | $673.20 | $123.75 – $273.81 | 7 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $320.35 – $4,386.82 | 3 |
| Pressure velocity wire add ves CPT 93572 | $1,896.65 | $3,448.45 | $82.52 – $1,496.00 | 2 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $636.87 – $1,362.90 | 8 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $7.00 – $350.65 | 9 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $16.00 – $121.42 | 9 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $11.00 – $350.65 | 9 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $11.00 – $121.42 | 9 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $11.00 – $350.65 | 9 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $191.21 | $347.65 | $170.71 – $365.32 | 8 |
| Preventive counseling group CPT 99411 | not published | not published | $11.38 – $11.38 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $19.12 – $19.12 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $36.23 – $36.23 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $73.53 – $73.53 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $109.77 – $109.77 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $146.54 – $146.54 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $128.05 – $274.02 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $124.45 – $3,399.30 | 10 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $249.07 – $3,399.30 | 11 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $692.37 | $1,258.85 | $155.35 – $1,579.00 | 10 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,065.18 – $7,935.28 | 8 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $35.89 – $76.81 | 8 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $35.89 – $76.81 | 8 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $35.89 – $76.81 | 8 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $35.89 – $76.81 | 8 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $35.89 – $76.81 | 8 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $35.89 – $76.81 | 8 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,901.74 | $8,912.25 | $31.50 – $1,496.00 | 2 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $242.84 – $265.74 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $182.11 – $200.20 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $115.27 – $126.69 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $165.48 – $181.99 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $110.81 – $120.95 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $68.62 – $75.93 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $15,280.65 | $27,783.00 | $644.11 – $37,729.94 | 10 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,322.65 | $4,223.00 | $243.73 – $1,496.00 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $75.97 – $209.09 | 8 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $731.64 | $1,330.25 | $279.45 – $1,579.00 | 10 |
| Pr incision & drainage abscess simple/single CPT 10060 | $474.98 | $863.60 | $160.92 – $1,496.00 | 9 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $445.53 | $810.05 | $192.17 – $2,100.00 | 10 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $563.34 | $1,024.25 | $159.39 – $1,496.00 | 9 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $128.05 – $291.95 | 8 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $128.05 – $274.02 | 8 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $328.68 | $597.60 | $18.59 – $67.81 | 2 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $918.57 – $4,019.07 | 11 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $191.10 – $1,579.00 | 11 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $202.21 – $4,893.31 | 11 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $332.13 – $4,893.31 | 11 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $235.39 – $5,316.00 | 10 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $240.33 – $575.95 | 9 |
| Procalcitonin CPT 84145 | $410.48 | $746.33 | $27.22 – $58.25 | 8 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $135.73 – $212.33 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $3.33 – $5.63 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.50 – $0.57 | 2 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $158.55 – $5,712.83 | 11 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $168.49 – $2,462.91 | 11 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $129.87 – $2,462.91 | 10 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $73.16 – $1,914.03 | 10 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $127.92 – $5,712.83 | 11 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $135.60 – $2,462.91 | 11 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $160.06 – $2,462.91 | 11 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $156.46 – $5,712.83 | 11 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $110.38 – $2,462.91 | 11 |
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.