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 |
|---|---|---|---|---|
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,008.92 – $14,934.65 | 11 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,025.89 – $14,934.65 | 11 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,988.28 | $3,615.05 | $235.55 – $3,239.91 | 10 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $25.33 – $25.33 | 1 |
| PSA (Prostate) Test CPT 84153 | $311.71 | $566.75 | $18.39 – $39.35 | 9 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $3.32 – $59.53 | 8 |
| Psychoanalysis CPT 90845 | not published | not published | $137.20 – $365.32 | 8 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $352.10 – $352.10 | 1 |
| Psychophysiological therapy CPT 90875 | not published | not published | $90.12 – $90.12 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $142.90 – $142.90 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $38.06 – $209.09 | 8 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $108.45 – $365.32 | 8 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $143.39 – $365.32 | 8 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $170.71 – $365.32 | 8 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $170.25 – $544.95 | 8 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $119.10 – $121.47 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $49.31 – $919.44 | 8 |
| Psy evaluation of records CPT 90885 | not published | not published | $73.01 – $73.01 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $36.20 – $273.84 | 8 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $28.05 – $51.26 | 2 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $46.42 – $50.75 | 2 |
| Psytx complex interactive CPT 90785 | not published | not published | $20.58 – $20.85 | 2 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $100.92 – $106.36 | 2 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $127.77 – $135.16 | 2 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $169.19 – $179.41 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $61.71 | $112.20 | $13.98 – $29.92 | 8 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $78.07 | $141.95 | $5.30 – $9.41 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $82.75 | $150.45 | $17.89 – $38.28 | 8 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $86.49 | $157.25 | $13.54 – $28.98 | 8 |
| Pt application of modality traction mechanical CPT 97012 | $95.84 | $174.25 | $13.64 – $29.19 | 8 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $100.81 – $100.98 | 2 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $642.00 | 8 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $1,284.00 | 8 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $99.72 | 8 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,217.96 – $12,184.12 | 9 |
| Pt evaluation high complexity patient/family CPT 97163 | $316.03 | $574.60 | $92.86 – $198.72 | 8 |
| Pt evaluation low complexity patient/family CPT 97161 | $291.72 | $530.40 | $92.86 – $198.72 | 8 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $303.88 | $552.50 | $92.86 – $198.72 | 8 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $4.32 – $77.12 | 8 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $23.82 – $50.97 | 8 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,320.72 – $2,826.34 | 8 |
| Pt re-evaluation patient/family CPT 97164 | $225.34 | $409.70 | $63.64 – $136.19 | 8 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $29.08 – $67.06 | 8 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $151.00 | $274.55 | $11.94 – $25.55 | 8 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $174.84 | $317.90 | $27.52 – $58.89 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $27.76 – $59.41 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $133.24 | $242.25 | $29.42 – $62.96 | 8 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $948.41 – $23,760.10 | 9 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $475.32 – $5,000.00 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $11,576.54 | 8 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $215.51 – $822.80 | 8 |
| Pulse ox continuous overnight monitoring CPT 94762 | $741.18 | $1,347.60 | $36.38 – $273.81 | 8 |
| Pulse ox multiple CPT 94761 | $362.34 | $658.80 | $5.32 – $5.72 | 2 |
| Pulse ox single CPT 94760 | $226.38 | $411.60 | $3.79 – $4.88 | 2 |
| Punc of shunt for asp or inj CPT 61070 | $728.36 | $1,324.30 | $85.05 – $1,579.00 | 11 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $291.25 | $529.55 | $22.88 – $1,496.00 | 9 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $536.69 | $975.80 | $146.10 – $1,496.00 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $73.27 – $6,823.84 | 11 |
| Puncture spinal lumbar diagnostic CPT 62270 | $791.48 | $1,439.05 | $97.07 – $1,579.00 | 11 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $119.69 – $279.14 | 8 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $110.30 – $233.39 | 8 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $74.60 – $1,496.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $125.95 – $1,496.00 | 9 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $120.28 – $1,496.00 | 9 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $849.41 – $1,817.74 | 8 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $20,122.03 – $43,061.14 | 8 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $14.33 – $24.36 | 4 |
| Pyruvate CPT 84210 | not published | not published | $8.00 – $30.99 | 9 |
| Pyruvate kinase CPT 84220 | not published | not published | $7.00 – $20.20 | 9 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $402.57 – $861.50 | 8 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $8.59 – $273.84 | 7 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $340.98 – $1,117.53 | 8 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $216.47 – $822.80 | 8 |
| Quest t3 uptake CPT 84479 | $109.59 | $199.25 | $5.00 – $13.85 | 9 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $631.93 – $1,352.33 | 8 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $765.42 – $765.42 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $352.44 – $787.94 | 8 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $243.20 – $474.24 | 9 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $281.18 – $548.31 | 9 |
| Rabies vaccine id CPT 90676 | not published | not published | $236.86 – $506.88 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $955.71 – $4,386.82 | 3 |
| Radiation handling CPT 77790 | not published | not published | $10.50 – $29.48 | 2 |
| Radiation physics consult CPT 77336 | not published | not published | $127.61 – $276.64 | 9 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $48.36 – $276.64 | 9 |
| Radiation therapy management CPT 77431 | not published | not published | $134.00 – $177.23 | 3 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $22.49 – $276.64 | 9 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $129.27 – $276.64 | 9 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $94.36 – $770.65 | 9 |
| Radiation treatment delivery CPT 77401 | not published | not published | $59.85 – $219.00 | 3 |
| Radiation treatment delivery CPT 77402 | not published | not published | $98.13 – $219.00 | 9 |
| Radiation treatment delivery CPT 77412 | not published | not published | $170.00 – $1,137.24 | 9 |
| Radiation tx management x5 CPT 77427 | not published | not published | $236.00 – $314.69 | 3 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,189.00 – $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.