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 |
|---|---|---|---|---|
| Reconstruct cranial bone CPT 21182 | not published | not published | $3,193.76 – $12,184.12 | 8 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $3,474.63 – $12,184.12 | 8 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $3,738.13 – $12,184.12 | 8 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $1,375.33 – $14,934.65 | 11 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,532.67 – $36,087.88 | 10 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,613.79 – $26,424.41 | 11 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $1,680.79 – $14,934.65 | 10 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $1,680.79 – $26,424.41 | 10 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,411.00 – $6,734.39 | 11 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,107.59 – $6,734.39 | 11 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,206.58 – $6,734.39 | 11 |
| Reconstruct head of radius CPT 24365 | not published | not published | $979.95 – $26,424.41 | 11 |
| Reconstruct head of radius CPT 24366 | not published | not published | $1,039.23 – $26,424.41 | 10 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,690.15 – $36,087.88 | 8 |
| Reconstruction knee CPT 27427 | not published | not published | $1,082.06 – $14,934.65 | 11 |
| Reconstruction knee CPT 27428 | not published | not published | $1,594.00 – $26,424.41 | 11 |
| Reconstruction knee CPT 27429 | not published | not published | $1,594.00 – $26,424.41 | 11 |
| Reconstruction of anus CPT 46753 | not published | not published | $939.13 – $5,712.83 | 11 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,076.41 – $4,893.31 | 11 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,385.81 – $4,893.31 | 11 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,382.48 – $8,091.55 | 11 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,019.04 – $4,893.31 | 11 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,971.31 – $26,424.41 | 8 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,676.61 – $14,934.65 | 8 |
| Reconstruction of jaw CPT 21245 | not published | not published | $1,426.43 – $12,184.12 | 11 |
| Reconstruction of jaw CPT 21246 | not published | not published | $1,285.42 – $12,184.12 | 11 |
| Reconstruction of jaw CPT 21248 | not published | not published | $1,207.06 – $12,184.12 | 11 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,690.40 – $12,184.12 | 11 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,586.75 – $12,184.12 | 11 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,528.77 – $12,184.12 | 11 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,755.00 – $55,846.90 | 11 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,520.40 – $12,184.12 | 11 |
| Reconstruction of midface CPT 21188 | not published | not published | $2,380.41 – $12,184.12 | 8 |
| Reconstruction of mouth CPT 40840 | not published | not published | $962.08 – $12,184.12 | 11 |
| Reconstruction of mouth CPT 40842 | not published | not published | $1,025.08 – $12,184.12 | 11 |
| Reconstruction of mouth CPT 40843 | not published | not published | $1,318.66 – $12,184.12 | 11 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,755.00 – $12,184.12 | 11 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,755.00 – $12,184.12 | 11 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $284.68 – $4,246.62 | 9 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,755.00 – $12,184.12 | 11 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,755.00 – $12,184.12 | 11 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,874.36 – $12,184.12 | 9 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,191.54 – $12,184.12 | 11 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,254.00 – $11,035.58 | 11 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,721.32 – $4,491.00 | 3 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,254.00 – $11,035.58 | 11 |
| Reconstruction of urethra CPT 54308 | not published | not published | $1,093.97 – $11,035.58 | 11 |
| Reconstruction of urethra CPT 54312 | not published | not published | $1,249.32 – $7,255.07 | 11 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,459.00 – $19,483.75 | 11 |
| Reconstruction of urethra CPT 54318 | not published | not published | $1,087.66 – $7,255.07 | 11 |
| Reconstruction of urethra CPT 54322 | not published | not published | $1,192.32 – $7,255.07 | 11 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,459.00 – $7,255.07 | 11 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,438.09 – $7,255.07 | 11 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $379.58 – $6,823.84 | 11 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $959.42 – $12,184.12 | 11 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $839.40 – $6,823.84 | 11 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $2,009.91 – $12,184.12 | 9 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $2,388.93 – $12,184.12 | 8 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $3,199.69 – $12,184.12 | 9 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $1,819.91 – $26,424.41 | 9 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $2,192.52 – $36,087.88 | 9 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $1,354.34 – $14,934.65 | 11 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,474.62 – $12,184.12 | 11 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,254.00 – $11,035.58 | 11 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,282.56 – $11,035.58 | 11 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,254.00 – $11,035.58 | 11 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rectal sensation test CPT 91120 | not published | not published | $544.95 – $1,496.00 | 3 |
| Red blood cells each unit HCPCS P9021 | not published | not published | $150.57 – $322.22 | 7 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $422.69 – $904.56 | 7 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | not published | not published | $249.40 – $533.72 | 7 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,339.94 | $2,436.25 | $184.91 – $395.71 | 7 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $2,143.08 | $3,896.50 | $265.41 – $567.98 | 7 |
| Red blood cells washed each unit HCPCS P9022 | not published | not published | $368.58 – $788.76 | 7 |
| Red cell mass multiple CPT 78121 | not published | not published | $92.32 – $1,117.53 | 9 |
| Red cell mass single CPT 78120 | not published | not published | $88.01 – $822.80 | 9 |
| Red cell sequestration CPT 78140 | not published | not published | $122.46 – $822.80 | 9 |
| Red cell survival kinetics CPT 78135 | not published | not published | $365.00 – $365.00 | 1 |
| Red cell survival study CPT 78130 | not published | not published | $143.51 – $822.80 | 9 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Redo endovas vena cava filtr CPT 37192 | $3,330.94 | $6,056.25 | $515.88 – $6,498.69 | 9 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reduce testis torsion CPT 54600 | not published | not published | $693.51 – $7,255.07 | 11 |
| Reduction of facial bones CPT 21209 | not published | not published | $914.99 – $12,184.12 | 11 |
| Reduction of procidentia 45900 CPT 45900 | $983.62 | $1,788.40 | $321.98 – $1,914.03 | 11 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reduction of skull defect CPT 62117 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $573.25 – $4,386.82 | 3 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,982.15 – $12,184.12 | 10 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $60.67 – $1,496.00 | 9 |
| Refill/maint pump/resvr syst CPT 96522 | $243.57 | $442.85 | $170.10 – $437.78 | 8 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | not published | not published | $5.03 – $23.45 | 4 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $219.09 – $4,386.82 | 3 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reimplant ureter in bladder CPT 50783 | 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.