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 |
|---|---|---|---|---|
| Repair prosthesis per 15 min HCPCS L7520 | not published | not published | $28.43 – $87.03 | 8 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair radius or ulna CPT 25400 | not published | not published | $1,223.84 – $14,934.65 | 11 |
| Repair radius & ulna CPT 25415 | not published | not published | $1,459.00 – $14,934.65 | 11 |
| Repair rect/bladder fistula CPT 45800 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair rectourethral fistula CPT 45820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair rectum & vagina CPT 57250 | not published | not published | $943.09 – $10,295.98 | 11 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $933.60 – $6,662.61 | 11 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $920.92 – $7,369.13 | 11 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $1,594.00 – $4,386.82 | 2 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $1,989.79 – $10,952.24 | 10 |
| Repair & revise nerve add-on CPT 64874 | not published | not published | $260.75 – $1,496.00 | 3 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $1,459.00 – $14,934.65 | 11 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $1,248.50 – $14,934.65 | 11 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $1,298.12 – $14,934.65 | 11 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $671.00 | $1,220.00 | $227.80 – $2,100.00 | 11 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,568.46 | $2,851.75 | $480.05 – $2,891.00 | 11 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair salivary duct CPT 42500 | not published | not published | $525.07 – $12,184.12 | 11 |
| Repair salivary duct CPT 42505 | not published | not published | $699.33 – $12,184.12 | 11 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,254.00 – $4,019.07 | 11 |
| Repair septal defect CPT 33813 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Repair shoulder capsule CPT 23450 | not published | not published | $1,439.52 – $14,934.65 | 11 |
| Repair shoulder capsule CPT 23455 | not published | not published | $1,501.90 – $14,934.65 | 11 |
| Repair shoulder capsule CPT 23460 | not published | not published | $1,657.99 – $14,934.65 | 11 |
| Repair shoulder capsule CPT 23462 | not published | not published | $1,623.46 – $14,934.65 | 11 |
| Repair shoulder capsule CPT 23465 | not published | not published | $1,700.15 – $14,934.65 | 11 |
| Repair shoulder capsule CPT 23466 | not published | not published | $1,707.00 – $14,934.65 | 11 |
| Repair single ventricle CPT 33617 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair single ventricle CPT 33619 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $1,459.00 – $4,386.82 | 2 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $1,829.56 – $6,734.39 | 10 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $2,406.79 – $6,734.39 | 10 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair stomach opening CPT 43870 | not published | not published | $991.00 – $7,935.28 | 11 |
| Repair tear ducts CPT 68700 | not published | not published | $901.31 – $4,893.31 | 11 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $491.39 – $6,734.39 | 11 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | not published | not published | $970.32 – $6,734.39 | 11 |
| Repair testis injury CPT 54670 | $3,812.00 | $6,930.90 | $625.96 – $7,255.07 | 11 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair throat wound CPT 42900 | not published | not published | $506.97 – $3,193.45 | 11 |
| Repair toe dislocation CPT 28645 | not published | not published | $747.78 – $6,734.39 | 11 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | not published | not published | $227.80 – $2,100.00 | 11 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,254.00 – $18,062.34 | 11 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $1,594.00 – $4,386.82 | 2 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $1,594.00 – $4,386.82 | 2 |
| Repair umbilical lesion CPT 49600 | not published | not published | $1,118.16 – $7,369.13 | 11 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair umbilical lesion CPT 49605 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair umbilical lesion CPT 49610 | not published | not published | $1,056.65 – $4,386.82 | 3 |
| Repair umbilical lesion CPT 49611 | not published | not published | $930.77 – $4,386.82 | 3 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $1,144.76 – $14,934.65 | 11 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $700.48 – $12,184.12 | 11 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $850.27 – $4,386.82 | 3 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $753.96 – $15,262.36 | 10 |
| Repair uro sphincter CPT 53449 | not published | not published | $936.36 – $19,483.75 | 11 |
| Repair vagina CPT 57335 | not published | not published | $1,802.87 – $10,295.98 | 9 |
| Repair vagina/perineum CPT 57210 | not published | not published | $600.70 – $6,662.61 | 11 |
| Repair valve femoral vein CPT 34501 | not published | not published | $1,342.94 – $11,452.76 | 8 |
| Repair venous anomaly CPT 33724 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $1,594.00 – $4,386.82 | 2 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair vessel graft defect CPT 35870 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $557.94 – $3,359.00 | 11 |
| Repair windpipe opening CPT 31614 | not published | not published | $1,074.38 – $12,184.12 | 11 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $1,658.99 – $12,184.12 | 9 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $29.10 – $62.27 | 8 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve open femoral 33362 CPT 33362 | $16,732.76 | $30,423.20 | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $1,103.55 – $4,386.82 | 3 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $910.65 – $4,386.82 | 3 |
| Replace brain cavity shunt CPT 62258 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace duod/jej tube perc CPT 49451 | not published | not published | $133.58 – $1,872.00 | 10 |
| Replace elbow joint CPT 24363 | not published | not published | $1,933.00 – $36,087.88 | 10 |
| Replace eye fluid CPT 67025 | not published | not published | $942.93 – $4,749.93 | 11 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $21.24 – $45.45 | 8 |
| Replace g/c tube perc CPT 49450 | not published | not published | $98.88 – $1,872.00 | 10 |
| Replace g-j tube perc CPT 49452 | not published | not published | $205.76 – $1,872.00 | 10 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $365.19 – $781.51 | 8 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $752.72 – $4,019.07 | 11 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $816.36 – $10,886.92 | 11 |
| Replacement aortic valve opn CPT 33410 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacement of aortic valve CPT 33412 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacement of aortic valve CPT 33413 | 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.