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 |
|---|---|---|---|---|
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $163.86 – $350.65 | 7 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $670.19 – $8,058.70 | 11 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $711.15 – $8,058.70 | 11 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,730.22 | $3,145.85 | $191.20 – $3,399.30 | 11 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $166.80 – $3,193.45 | 10 |
| Biopsy skin incisional single lesion CPT 11106 | $657.30 | $1,195.10 | $85.89 – $1,579.00 | 10 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $236.29 – $3,399.30 | 10 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $626.07 – $5,978.45 | 11 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $162.79 – $1,579.00 | 10 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $222.23 – $6,662.61 | 11 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $134.52 – $1,496.00 | 9 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $633.82 – $14,934.65 | 11 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $591.63 – $6,734.39 | 11 |
| Biospy of bladder CPT 53899 | $407.55 | $741.00 | $240.30 – $1,496.00 | 9 |
| Biotinidase - quest CPT 82261 | $71.50 | $130.00 | $12.00 – $36.10 | 9 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $123.75 – $265.98 | 8 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.17 – $0.34 | 4 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $389.43 | $708.05 | $45.83 – $1,496.00 | 9 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $188.59 – $1,579.00 | 10 |
| Bld prd mix CPT 86965 | not published | not published | $10.00 – $350.65 | 9 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $76.67 – $1,579.00 | 10 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $24.58 – $34.53 | 4 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $776.51 – $4,246.62 | 11 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $599.46 – $4,246.62 | 11 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $829.08 – $5,316.00 | 11 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $828.58 – $4,246.62 | 11 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $172.90 – $337.16 | 9 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $4,386.82 – $23,760.10 | 8 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $358.89 – $768.03 | 6 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $16,474.62 – $35,255.69 | 9 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $4,386.82 – $35,255.69 | 8 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $4,386.82 – $19,642.90 | 8 |
| Blink reflex test CPT 95933 | not published | not published | $56.74 – $121.42 | 8 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $84.12 | 8 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $824.70 | $1,499.46 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $986.18 | $1,793.05 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $6,274.36 | $11,407.92 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $21.86 – $23.37 | 2 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $119.18 – $1,820.41 | 10 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $111.33 – $1,820.41 | 10 |
| Block paracervical nrv CPT 64435 | not published | not published | $66.62 – $1,579.00 | 10 |
| Block plantar digital nerve CPT 64455 | not published | not published | $51.59 – $1,496.00 | 9 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $106.11 – $1,496.00 | 2 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $85.10 – $1,496.00 | 2 |
| Blood Clotting (PT/INR) Test CPT 85610 | $188.79 | $343.25 | $3.00 – $9.18 | 9 |
| Blood Clotting (PTT) Test CPT 85730 | $210.10 | $382.00 | $4.00 – $12.86 | 9 |
| Blood Count (CBC) Test CPT 85025 | $251.91 | $458.01 | $5.00 – $16.63 | 9 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $155.10 | $282.00 | $5.00 – $13.85 | 9 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $4.00 – $14.98 | 9 |
| Blood Culture Test CPT 87040 | $431.75 | $785.00 | $7.00 – $22.08 | 9 |
| Blood draw capillary 36416 CPT 36416 | $39.19 | $71.25 | $12.47 – $12.47 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | $183.70 | $334.00 | $32.00 – $168.57 | 9 |
| Blood gases ph venous CPT 82800 | not published | not published | $10.00 – $23.54 | 9 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $84.55 – $180.94 | 7 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $50.05 | $91.00 | $15.92 – $51.00 | 9 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $14.57 | $26.49 | $4.23 – $9.05 | 8 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $60.09 | $109.25 | $3.00 – $9.37 | 9 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $57.75 | $105.00 | $5.32 – $11.38 | 8 |
| Blood smear interpretation CPT 85060 | not published | not published | $13.00 – $36.05 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $29.15 | $53.00 | $3.00 – $8.13 | 9 |
| Blood split unit HCPCS P9011 | not published | not published | $87.69 – $333.50 | 8 |
| Blood typing abo CPT 86900 | $240.21 | $436.75 | $3.00 – $273.84 | 9 |
| Blood typing ag donor ea ag CPT 86902 | $202.95 | $369.00 | $9.10 – $737.75 | 8 |
| Blood typing patient serum CPT 86904 | $61.60 | $112.00 | $11.00 – $121.42 | 9 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $202.95 | $369.00 | $4.00 – $737.75 | 9 |
| Blood typing rh (d) CPT 86901 | $109.18 | $198.50 | $4.32 – $76.88 | 9 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $5.00 – $76.88 | 9 |
| Blood volume CPT 78122 | not published | not published | $111.97 – $1,117.53 | 9 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $731.00 – $1,496.00 | 2 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $214.35 – $5,978.45 | 11 |
| Bone Density Scan (DEXA) CPT 77080 | $652.02 | $1,185.50 | $42.61 – $215.17 | 8 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $303.65 – $822.80 | 9 |
| Bone/joint imaging ltd area CPT 78300 | $1,918.81 | $3,488.75 | $255.77 – $822.80 | 9 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,766.22 | $3,211.30 | $101.98 – $3,399.30 | 10 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,766.22 | $3,211.30 | $106.76 – $3,399.30 | 10 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $306.88 – $3,205.48 | 9 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $287.21 – $8,964.44 | 10 |
| Bone marrow imaging body CPT 78104 | not published | not published | $278.21 – $822.80 | 9 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $195.34 – $822.80 | 9 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $203.49 – $822.80 | 9 |
| Bone marrow interpretation CPT 85097 | not published | not published | $52.00 – $1,658.24 | 9 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $3,359.00 – $14,934.65 | 10 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $3,359.00 – $14,934.65 | 10 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $64.17 – $215.17 | 8 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $19.17 – $19.17 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $2.32 – $2.32 | 1 |
| Boot j walker l HCPCS L4386 | not published | not published | $195.88 – $419.18 | 8 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $207.40 – $443.84 | 8 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $195.88 – $419.18 | 8 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $318.18 – $680.91 | 8 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $318.18 – $680.91 | 8 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $28.63 | 9 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $144.24 | $262.25 | $12.00 – $36.44 | 9 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $75.09 | 8 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.85 – $4.00 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $7.34 | 9 |
| Bowel imaging CPT 78290 | not published | not published | $310.00 – $822.80 | 9 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $173.00 – $370.22 | 8 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $512.22 – $1,096.15 | 8 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $362.45 – $775.64 | 8 |
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.