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 |
|---|---|---|---|---|
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $151.95 – $5,712.83 | 11 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $176.85 – $12,495.04 | 11 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $119.69 – $233.39 | 8 |
| Progesterone CPT 84144 | $317.08 | $576.50 | $15.00 – $44.64 | 9 |
| Prolactin CPT 84146 | $328.35 | $597.00 | $14.00 – $41.47 | 9 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $29.63 – $29.63 | 1 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $13.86 – $13.86 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $16.96 – $60.61 | 2 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $16.96 – $46.06 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | $1,319.75 | $2,399.55 | $204.57 – $563.87 | 7 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $46.02 – $46.02 | 1 |
| Prolong service without contact CPT 99358 | not published | not published | $135.16 – $135.16 | 1 |
| Prolong serv without contact add CPT 99359 | not published | not published | $56.42 – $56.42 | 1 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.05 – $0.13 | 2 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.77 – $5.90 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $305.27 – $2,100.00 | 11 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $323.08 – $1,579.00 | 10 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,321.28 – $26,424.41 | 11 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,098.54 – $14,934.65 | 11 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,381.51 – $6,734.39 | 11 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,129.37 – $26,424.41 | 11 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.10 – $0.21 | 4 |
| _propoxygc/msur CPT 80367 | not published | not published | $35.46 – $35.46 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $3.76 – $13.14 | 2 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $93.09 – $199.21 | 8 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $138.17 – $295.68 | 8 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $29.52 – $63.17 | 8 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $12.87 – $27.54 | 8 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $13.62 – $29.15 | 8 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $275.33 – $737.75 | 8 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $13.47 – $30.87 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,111.69 – $11,035.58 | 11 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,258.68 – $11,035.58 | 10 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $542.71 – $7,255.07 | 10 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $581.82 – $7,255.07 | 9 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $135.20 – $289.33 | 8 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $51.85 – $110.96 | 8 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $25.45 – $54.46 | 8 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,091.08 – $2,334.91 | 8 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $9.80 – $20.97 | 8 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.60 – $2.73 | 4 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $69.77 – $149.31 | 8 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.00 – $38.34 | 3 |
| Protein c activity CPT 85303 | $234.44 | $426.25 | $10.00 – $29.62 | 9 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.07 – $29.39 | 9 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $348.70 | $634.00 | $10.74 – $51.00 | 9 |
| Protein s total CPT 85305 | $196.76 | $357.75 | $8.00 – $24.85 | 9 |
| Protein total 24 hour urine CPT 84156 | $241.52 | $439.13 | $3.67 – $7.85 | 9 |
| Protein total body fluid CPT 84157 | $31.08 | $56.50 | $4.00 – $8.56 | 9 |
| Protein total serum plasma whole blood CPT 84155 | $62.15 | $113.00 | $3.67 – $7.85 | 9 |
| Protein western blot tissue CPT 88371 | not published | not published | $25.00 – $32.59 | 3 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.01 – $5.04 | 7 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $27.50 | $50.00 | $3.00 – $8.43 | 9 |
| Proton treatment complex CPT 77525 | not published | not published | $1,161.00 – $2,572.20 | 9 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,161.00 – $2,572.20 | 9 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $767.00 – $2,572.20 | 9 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $531.42 – $1,328.60 | 9 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $20.84 | 9 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $94.36 – $274.02 | 8 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $689.74 – $4,386.82 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $895.26 – $8,185.00 | 11 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $97.71 – $209.09 | 8 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $47.93 – $47.93 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $536.34 – $37,729.94 | 8 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $693.30 – $37,729.94 | 8 |
| Prq card angio/athrect addl CPT 92925 | $18,513.00 | $33,660.00 | $9,166.00 – $11,491.00 | 2 |
| Prq cardiac angio addl art CPT 92921 | $10,406.08 | $18,920.15 | $5,000.00 – $7,001.00 | 2 |
| Prq card revasc chronic addl CPT 92944 | $14,960.94 | $27,201.70 | $5,000.00 – $7,001.00 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | $17,116.11 | $31,120.20 | $985.35 – $5,000.00 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $19,786.00 | $35,974.55 | $1,189.00 – $4,386.82 | 3 |
| Prq card stent/ath/angio CPT 92934 | $13,663.16 | $24,842.10 | $5,000.00 – $7,001.00 | 2 |
| Prq card stent w/angio addl CPT 92929 | $16,614.02 | $30,207.30 | $5,000.00 – $7,001.00 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $16,888.90 | $30,707.10 | $877.49 – $23,760.10 | 9 |
| Prq revasc byp graft addl CPT 92938 | $3,377.69 | $6,141.25 | $5,000.00 – $7,001.00 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $898.71 – $14,934.65 | 11 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,100.98 – $3,309.55 | 11 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,201.28 – $14,934.65 | 11 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $754.71 – $14,934.65 | 11 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $560.62 – $14,934.65 | 11 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $22,075.35 | $40,137.00 | $877.59 – $23,760.10 | 9 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $17,630.81 – $37,729.94 | 6 |
| Prq trlml c athrc st angiop1 CPT 92933 | $20,358.69 | $37,015.80 | $984.24 – $37,729.94 | 9 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,892.37 | $10,713.40 | $788.76 – $11,714.30 | 9 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $21,004.78 | $38,190.50 | $940.79 – $23,760.10 | 9 |
| Prq trluml revsc ch occ ant CPT 92943 | $21,004.78 | $38,190.50 | $985.32 – $23,760.10 | 9 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $111.31 – $1,496.00 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $223.00 | $405.45 | $72.11 – $1,496.00 | 9 |
| Pr removal intrauterine device CPT 58301 | $360.91 | $656.20 | $101.44 – $1,579.00 | 10 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $645.62 | $1,173.85 | $286.70 – $1,496.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $396.44 | $720.80 | $84.93 – $1,496.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $428.23 | $778.60 | $89.04 – $1,496.00 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $396.91 | $721.65 | $68.46 – $1,496.00 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $409.67 | $744.86 | $90.11 – $1,496.00 | 9 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,080.70 – $4,246.62 | 11 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $62.66 – $62.66 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $959.12 – $6,734.39 | 11 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $909.73 – $14,934.65 | 11 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $148.66 – $1,579.00 | 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.