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 |
|---|---|---|---|---|
| Reimplant ureter in bladder CPT 50785 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reinforce clavicle CPT 23490 | not published | not published | $1,311.50 – $14,934.65 | 11 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $237.72 – $508.72 | 8 |
| Reinforce eye wall CPT 67250 | not published | not published | $1,346.08 – $4,893.31 | 11 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $1,029.19 – $8,507.36 | 11 |
| Reinforce hip bones CPT 27187 | not published | not published | $1,515.09 – $14,934.65 | 8 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,459.00 – $26,424.41 | 11 |
| Reinforce thigh CPT 27495 | not published | not published | $1,716.77 – $14,934.65 | 8 |
| Reinforce tibia CPT 27745 | not published | not published | $1,136.50 – $14,934.65 | 11 |
| Reinnervate larynx CPT 31590 | not published | not published | $1,378.60 – $12,184.12 | 11 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,982.42 – $26,424.41 | 8 |
| Reinsert ocular implant CPT 65155 | not published | not published | $1,438.86 – $8,091.55 | 11 |
| Release encircling material CPT 67115 | not published | not published | $745.47 – $8,507.36 | 11 |
| Release eye tissue CPT 67343 | not published | not published | $1,007.03 – $6,535.00 | 11 |
| Release facial nerve CPT 69720 | not published | not published | $1,755.00 – $12,184.12 | 11 |
| Release facial nerve CPT 69725 | not published | not published | $2,836.32 – $12,184.12 | 9 |
| Release facial nerve CPT 69955 | not published | not published | $2,984.64 – $12,184.12 | 9 |
| Release finger contracture CPT 26525 | not published | not published | $1,026.92 – $3,309.55 | 11 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $1,069.05 – $6,734.39 | 11 |
| Release inner ear canal CPT 69960 | not published | not published | $2,865.31 – $12,184.12 | 9 |
| Release knuckle contracture CPT 26520 | not published | not published | $1,021.09 – $6,734.39 | 11 |
| Release middle ear bone CPT 69650 | not published | not published | $1,214.43 – $6,823.84 | 11 |
| Release muscles of hand CPT 26593 | not published | not published | $968.55 – $6,734.39 | 11 |
| Release of eye fluid CPT 67015 | not published | not published | $902.11 – $4,749.93 | 11 |
| Release of foot tendon CPT 28220 | not published | not published | $469.23 – $3,309.55 | 9 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $405.76 – $6,734.39 | 11 |
| Release of foot tendons CPT 28222 | not published | not published | $568.75 – $6,734.39 | 11 |
| Release of foot tendons CPT 28226 | not published | not published | $608.89 – $6,734.39 | 11 |
| Release of lower leg tendon CPT 27680 | not published | not published | $644.16 – $6,734.39 | 11 |
| Release of lower leg tendons CPT 27681 | not published | not published | $776.34 – $6,734.39 | 11 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Release of midfoot joint CPT 28260 | not published | not published | $827.56 – $6,734.39 | 11 |
| Release of midfoot joint CPT 28264 | not published | not published | $991.00 – $4,491.00 | 11 |
| Release of shoulder ligament CPT 23415 | not published | not published | $1,065.05 – $14,934.65 | 11 |
| Release of skull seams CPT 61550 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Release of skull seams CPT 61552 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Release of ureter CPT 50715 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Release of ureter CPT 50722 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Release of ureter CPT 50940 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Release palm contracture CPT 26040 | not published | not published | $485.29 – $3,359.00 | 11 |
| Release palm contracture CPT 26121 | not published | not published | $917.48 – $6,734.39 | 11 |
| Release palm contracture CPT 26123 | not published | not published | $1,279.06 – $6,734.39 | 11 |
| Release palm contracture CPT 26125 | not published | not published | $406.68 – $1,594.00 | 3 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $724.18 – $6,734.39 | 11 |
| Release palm & finger tendon CPT 26442 | not published | not published | $1,459.00 – $6,734.39 | 11 |
| Release palm/finger tendon CPT 26440 | not published | not published | $974.04 – $3,309.55 | 11 |
| Release/revise ureter CPT 50725 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $2,330.87 – $10,454.00 | 4 |
| Release thumb contracture CPT 26508 | not published | not published | $1,019.52 – $6,734.39 | 11 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $807.50 – $6,734.39 | 11 |
| Relieve bladder contracture CPT 52640 | not published | not published | $492.39 – $7,255.07 | 11 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Relocation of testis(es) CPT 54680 | not published | not published | $1,202.21 – $7,255.07 | 11 |
| Relocation skin pocket aicd CPT 33223 | $1,988.28 | $3,615.05 | $610.21 – $4,246.62 | 11 |
| Relocation skin pocket pm CPT 33222 | $2,066.82 | $3,757.85 | $511.56 – $4,246.62 | 11 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $67.69 – $1,496.00 | 9 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $124.60 – $1,496.00 | 9 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $7.24 – $14.65 | 9 |
| Rem endovas vena cava filter CPT 37193 | $3,441.74 | $6,257.70 | $520.69 – $6,498.69 | 9 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $35.89 – $76.81 | 8 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $35.89 – $111.10 | 8 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $30.63 – $76.81 | 8 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $44.90 – $45.04 | 2 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $35.89 – $76.81 | 7 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $28.66 – $274.02 | 7 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $35.89 – $76.81 | 7 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $38.16 – $38.57 | 2 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $358.89 – $1,169.84 | 8 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $7.76 – $16.61 | 8 |
| Removable insert each HCPCS L6691 | not published | not published | $422.60 – $904.36 | 8 |
| Removable soft interface le HCPCS K0672 | not published | not published | $104.75 – $224.16 | 8 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $1,065.59 – $4,386.82 | 3 |
| Removal allograft pancreas CPT 48556 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $131.78 – $2,462.91 | 11 |
| Removal biliary drg cath CPT 47537 | not published | not published | $144.64 – $1,872.00 | 10 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,833.98 | $5,152.70 | $205.05 – $1,579.00 | 11 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,846.61 | $5,175.65 | $285.22 – $3,239.91 | 11 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $202.36 – $6,662.61 | 11 |
| Removal cerclage without anes CPT 59899 | not published | not published | $194.44 – $1,496.00 | 9 |
| Removal cerumen impacted (both sides) CPT 69210 | $768.10 | $1,396.55 | $49.72 – $1,496.00 | 9 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $884.09 – $11,452.76 | 11 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $1,409.17 – $11,452.76 | 11 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $97.24 – $1,496.00 | 2 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | not published | not published | $126.98 – $412.94 | 8 |
| Removal duct glbldr calculi CPT 47544 | not published | not published | $234.84 – $1,496.00 | 2 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,003.72 | $1,824.95 | $171.84 – $1,872.00 | 9 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $144.39 – $3,399.30 | 11 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $561.44 – $3,399.30 | 11 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,319.75 | $2,399.55 | $202.62 – $1,579.00 | 10 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $288.08 – $3,193.45 | 10 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $412.40 – $3,193.45 | 10 |
| Removal foreign body mouth CPT 40805 | not published | not published | $299.90 – $2,100.00 | 10 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $535.50 – $3,399.30 | 11 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $219.26 – $3,399.30 | 11 |
| Removal kidney open complex CPT 50225 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Removal kidney open radical CPT 50230 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $978.11 – $8,058.70 | 11 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $792.62 – $8,058.70 | 11 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $1,555.78 – $13,666.71 | 11 |
| Removal of adenoids CPT 42830 | not published | not published | $324.90 – $6,823.84 | 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.