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 |
|---|---|---|---|---|
| Remove/graft bone lesion CPT 26205 | not published | not published | $925.70 – $14,934.65 | 11 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $868.65 – $6,734.39 | 11 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $933.30 – $14,934.65 | 11 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $597.10 – $14,934.65 | 11 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $532.94 – $14,934.65 | 11 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $911.92 – $3,309.55 | 11 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $918.47 – $6,734.39 | 11 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $1,575.40 – $14,934.65 | 11 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $1,139.09 – $14,934.65 | 11 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $1,134.18 – $14,934.65 | 11 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $860.52 – $14,934.65 | 11 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $762.92 – $14,934.65 | 11 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $1,254.00 – $13,666.71 | 11 |
| Remove hand bone lesion CPT 26200 | not published | not published | $691.80 – $3,309.55 | 11 |
| Remove hip bone les deep CPT 27066 | not published | not published | $1,242.68 – $6,734.39 | 11 |
| Remove hip bone les super CPT 27065 | not published | not published | $799.14 – $14,934.65 | 11 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $256.36 – $5,978.45 | 11 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $551.86 – $5,978.45 | 11 |
| Remove humerus lesion CPT 23174 | not published | not published | $1,166.77 – $14,934.65 | 11 |
| Remove humerus lesion CPT 23184 | not published | not published | $1,131.12 – $14,934.65 | 11 |
| Remove implant of eye CPT 65920 | not published | not published | $1,183.82 – $6,535.00 | 11 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $731.59 – $5,712.83 | 11 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $633.33 – $5,712.83 | 11 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $811.44 – $5,712.83 | 11 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $887.48 – $5,712.83 | 11 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $731.73 – $5,712.83 | 11 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove inner ear CPT 69905 | not published | not published | $1,387.95 – $12,184.12 | 11 |
| Remove inner ear lesion CPT 69970 | not published | not published | $3,229.45 – $12,184.12 | 9 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $1,503.45 – $12,184.12 | 11 |
| Remove intact mammary implant CPT 19328 | not published | not published | $838.40 – $8,058.70 | 11 |
| Remove intestinal allograft CPT 44137 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $538.87 – $5,712.83 | 11 |
| Remove intra-aortic balloon CPT 33974 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove intracorporeal device CPT 33980 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove iris and lesion CPT 66600 | not published | not published | $1,347.93 – $8,507.36 | 11 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $1,183.32 – $12,184.12 | 11 |
| Remove kidney living donor CPT 50320 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove knee cyst CPT 27347 | not published | not published | $807.26 – $6,734.39 | 11 |
| Remove knee joint lining CPT 27334 | not published | not published | $1,048.52 – $6,734.39 | 11 |
| Remove knee joint lining CPT 27335 | not published | not published | $1,169.28 – $14,934.65 | 11 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $1,814.77 – $14,934.65 | 10 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $696.96 – $4,019.07 | 11 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $885.00 – $6,734.39 | 11 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove lung foreign body CPT 32151 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $1,254.00 – $12,184.12 | 11 |
| Remove mastoid air cells CPT 69670 | not published | not published | $1,426.35 – $12,184.12 | 11 |
| Remove mastoid structures CPT 69505 | not published | not published | $1,841.75 – $12,184.12 | 11 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $1,509.31 – $12,184.12 | 10 |
| Remove middle ear nerve CPT 69676 | not published | not published | $1,258.43 – $6,823.84 | 11 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $1,117.43 – $7,255.07 | 11 |
| Remove nasal foreign body CPT 30310 | not published | not published | $312.47 – $6,823.84 | 11 |
| Remove nasal foreign body CPT 30320 | not published | not published | $733.08 – $3,193.45 | 11 |
| Remove nerve lesion CPT 64784 | not published | not published | $1,102.50 – $4,019.07 | 11 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $1,175.06 – $14,934.65 | 10 |
| Remove part lumbar vertebra CPT 22114 | not published | not published | $1,726.04 – $14,934.65 | 8 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $1,433.61 – $14,934.65 | 10 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $1,609.16 – $14,934.65 | 8 |
| Remove part of temporal bone CPT 69535 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove part thorax vertebra CPT 22112 | not published | not published | $1,726.04 – $14,934.65 | 8 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove penis & nodes CPT 54130 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove penis & nodes CPT 54135 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove pilonidal cyst compl CPT 11772 | $4,638.07 | $8,432.85 | $875.21 – $5,978.45 | 11 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $682.49 – $5,978.45 | 11 |
| Remove pituit tumor w/scope CPT 62165 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove prostate regrowth CPT 52630 | not published | not published | $619.72 – $11,035.58 | 11 |
| Remove pulmonary shunt CPT 33924 | not published | not published | $426.18 – $4,386.82 | 3 |
| Remove rectum w/reservoir CPT 45119 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove renal tube w/fluoro CPT 50389 | not published | not published | $80.70 – $1,579.00 | 10 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $991.00 – $6,823.84 | 11 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $1,318.04 – $42,658.24 | 11 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $991.00 – $42,658.24 | 11 |
| Remove/revise male sling CPT 53442 | not published | not published | $991.00 – $11,035.58 | 11 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $1,359.46 – $4,246.62 | 11 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $1,411.00 – $4,246.62 | 11 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $1,459.00 – $10,886.92 | 11 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $814.12 – $7,255.07 | 11 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $873.17 – $6,734.39 | 11 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $724.38 – $5,978.45 | 10 |
| Remove shoulder foreign body subq 23330 CPT 23330 | not published | not published | $254.37 – $3,399.30 | 11 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $652.58 – $4,019.07 | 11 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $622.36 – $4,019.07 | 11 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Remove sperm duct pouch CPT 55650 | not published | not published | $1,093.00 – $4,386.82 | 3 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $531.60 – $7,255.07 | 11 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $418.82 – $4,019.07 | 11 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $1,254.00 – $4,019.07 | 11 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $317.58 – $10,454.00 | 3 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $502.31 – $6,535.00 | 10 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $1,293.44 – $7,195.64 | 10 |
| Remove spine fixation device CPT 22850 | not published | not published | $1,117.56 – $14,934.65 | 8 |
| Remove spine fixation device CPT 22852 | not published | not published | $1,077.14 – $14,934.65 | 8 |
| Remove spine infusion device CPT 62365 | not published | not published | $452.95 – $10,886.92 | 11 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $2,251.77 – $14,934.65 | 10 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $1,870.48 – $14,934.65 | 10 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $1,824.82 – $14,934.65 | 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.