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 |
|---|---|---|---|---|
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,281.93 – $14,934.65 | 8 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,931.71 – $14,934.65 | 8 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,677.14 – $14,934.65 | 8 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,796.29 – $14,934.65 | 9 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,987.03 – $14,934.65 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,411.00 – $6,535.00 | 10 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,074.00 – $8,185.00 | 10 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $6,496.09 – $13,901.63 | 8 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $955.74 – $2,045.28 | 8 |
| Radiology port images(s) CPT 77417 | not published | not published | $21.52 – $60.00 | 3 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,111.00 – $2,848.80 | 9 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $181.55 – $354.02 | 9 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,914.62 | $3,481.12 | $352.04 – $2,610.96 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,348.05 | $4,269.19 | $522.21 – $2,610.96 | 9 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $815.22 – $2,664.63 | 8 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,740.79 | $4,983.25 | $353.00 – $2,610.96 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,304.74 | $2,372.25 | $290.23 – $822.80 | 9 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $98.19 – $98.19 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $2,342.16 – $14,934.65 | 10 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,411.00 – $5,978.45 | 11 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,012.77 – $8,185.00 | 10 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,411.00 – $5,978.45 | 11 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,075.31 – $5,978.45 | 11 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,020.16 – $8,185.00 | 10 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,134.75 – $5,978.45 | 11 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,594.00 – $8,185.00 | 10 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,038.70 – $14,934.65 | 10 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,411.00 – $5,978.45 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $76.56 – $149.30 | 9 |
| Range of motion measurements CPT 95852 | not published | not published | $4.83 – $28.07 | 8 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $51.09 – $308.05 | 9 |
| Rapid desensitization CPT 95180 | not published | not published | $156.65 – $919.44 | 8 |
| Rapid Strep Test CPT 87880 | $223.71 | $406.75 | $9.00 – $35.37 | 9 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $387.45 – $755.53 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $226.92 – $442.49 | 9 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $125.00 – $855.33 | 2 |
| Rbc count only automated CPT 85041 | not published | not published | $3.00 – $6.46 | 9 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $313.00 – $817.18 | 7 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $72.17 – $1,579.00 | 10 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $145.22 – $310.77 | 7 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $18.40 | 9 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $5.00 – $15.99 | 9 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $7.00 – $919.44 | 9 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $226.18 – $248.43 | 2 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $160.39 – $173.48 | 2 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $165.70 – $182.53 | 2 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $101.85 – $111.18 | 2 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $60.48 – $65.90 | 2 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $58.54 – $62.32 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $3,333.93 – $12,184.12 | 9 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,563.10 – $12,184.12 | 8 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,295.08 – $12,184.12 | 8 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,342.53 – $12,184.12 | 8 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,445.76 – $12,184.12 | 8 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $3,285.30 – $12,184.12 | 8 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,959.97 – $12,184.12 | 8 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,749.64 – $12,184.12 | 8 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $4,272.59 – $12,184.12 | 8 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $3,938.40 – $12,184.12 | 8 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $1,135.61 – $6,823.84 | 9 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,382.82 – $12,184.12 | 9 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,643.42 – $12,184.12 | 9 |
| Realignment of knee CPT 27457 | not published | not published | $1,437.80 – $14,934.65 | 8 |
| Realignment of knee CPT 27455 | not published | not published | $1,460.30 – $14,934.65 | 8 |
| Realignment of tendons CPT 26437 | not published | not published | $1,003.11 – $6,734.39 | 11 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,964.17 – $14,934.65 | 8 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,631.36 – $12,184.12 | 11 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,586.74 – $12,184.12 | 11 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,933.00 – $12,184.12 | 11 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,459.00 – $12,184.12 | 11 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,933.00 – $12,184.12 | 11 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling of artery CPT 35306 | not published | not published | $666.15 – $4,386.82 | 3 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,460.13 – $11,452.76 | 8 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $60.26 – $62.40 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,157.41 – $12,184.12 | 9 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $2,151.33 – $12,184.12 | 9 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $2,017.94 – $12,184.12 | 9 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,861.36 – $12,184.12 | 9 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,550.67 – $14,934.65 | 8 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,531.35 – $12,184.12 | 9 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,543.33 – $12,184.12 | 9 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,465.06 – $55,846.90 | 9 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,668.89 – $14,934.65 | 9 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,397.87 – $12,184.12 | 11 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,456.75 – $6,823.84 | 11 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,624.79 – $12,184.12 | 11 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,059.25 – $12,184.12 | 11 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $872.17 – $12,184.12 | 11 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,462.45 – $12,184.12 | 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.