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 |
|---|---|---|---|---|
| Replacement of contact lens CPT 92326 | not published | not published | $56.50 – $121.42 | 8 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $481.93 – $1,031.33 | 8 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $474.40 – $1,015.22 | 8 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $493.23 – $1,055.51 | 8 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $312.94 – $669.69 | 8 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $376.94 – $806.65 | 8 |
| Replace picvad cath CPT 36585 | not published | not published | $419.35 – $6,498.69 | 11 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $664.47 – $1,421.97 | 8 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $407.08 – $871.15 | 8 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $1,157.21 – $2,476.43 | 8 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $1,254.00 – $18,062.34 | 11 |
| Replace skull plate/flap CPT 62143 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace socket above knee HCPCS L5701 | not published | not published | $4,212.11 – $9,013.92 | 8 |
| Replace socket below knee HCPCS L5700 | not published | not published | $3,507.38 – $7,505.79 | 8 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $756.75 – $1,619.44 | 8 |
| Replace socket hip HCPCS L5702 | not published | not published | $5,328.96 – $11,403.97 | 8 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $850.32 – $14,934.65 | 11 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $791.32 – $1,693.42 | 8 |
| Replace tunneled cv cath CPT 36578 | not published | not published | $305.95 – $6,498.69 | 11 |
| Replace ureter by bowel CPT 50840 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace vad intra w/bp CPT 33983 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace vad intra without bp CPT 33982 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replace vad pump ext CPT 33981 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Replacment pt electronic sys HCPCS G0555 | not published | not published | $825.91 – $1,767.45 | 7 |
| Repl alkaline battery HCPCS L8622 | not published | not published | $0.40 – $0.86 | 8 |
| Replantation arm complete CPT 20802 | not published | not published | $4,151.88 – $36,087.88 | 8 |
| Replantation digit complete CPT 20822 | not published | not published | $1,546.52 – $3,309.55 | 10 |
| Replantation digit complete CPT 20816 | not published | not published | $1,546.52 – $5,000.00 | 8 |
| Replantation foot complete CPT 20838 | not published | not published | $4,211.65 – $36,087.88 | 8 |
| Replantation hand complete CPT 20808 | not published | not published | $4,386.82 – $36,087.88 | 8 |
| Replantation of penis CPT 54438 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Replantation thumb complete CPT 20827 | not published | not published | $1,546.52 – $5,000.00 | 8 |
| Replantation thumb complete CPT 20824 | not published | not published | $1,546.52 – $5,000.00 | 8 |
| Replant forearm complete CPT 20805 | not published | not published | $4,386.82 – $36,087.88 | 8 |
| Replc sockt above elbow disa HCPCS L6884 | not published | not published | $3,428.45 – $7,336.88 | 8 |
| Replc sockt below e/w disa HCPCS L6883 | not published | not published | $2,284.39 – $4,888.59 | 8 |
| Replc sockt shldr dis/interc HCPCS L6885 | not published | not published | $3,899.44 – $8,344.80 | 8 |
| Repl cushions for jaw motion HCPCS E1701 | not published | not published | $23.75 – $23.75 | 1 |
| Repl girdle milwaukee orth HCPCS L4000 | not published | not published | $1,548.39 – $3,313.55 | 8 |
| Repl leath cuff kafo-afo cal HCPCS L4110 | not published | not published | $107.83 – $230.76 | 8 |
| Repl leath cuff kafo prox th HCPCS L4100 | not published | not published | $134.81 – $288.49 | 8 |
| Repl met band kafo-afo calf/ HCPCS L4090 | not published | not published | $131.28 – $280.94 | 8 |
| Repl met band kafo-afo prox HCPCS L4080 | not published | not published | $116.23 – $248.73 | 8 |
| Repl trach puncture dilator HCPCS L8514 | not published | not published | $116.73 – $249.80 | 8 |
| Repl zinc air battery HCPCS L8621 | not published | not published | $0.77 – $1.65 | 8 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | not published | not published | $560.82 – $7,195.64 | 9 |
| Reposition intraocular lens CPT 66825 | not published | not published | $1,239.22 – $4,749.93 | 11 |
| Reposition pm/icd lead CPT 33215 | $3,330.94 | $6,056.25 | $463.53 – $6,498.69 | 9 |
| Reposition vad w/image rt/lt sep session CPT 33993 | not published | not published | $248.30 – $4,386.82 | 3 |
| Repos lv lead pm/icd CPT 33226 | $3,330.94 | $6,056.25 | $730.14 – $6,498.69 | 9 |
| Repos sq defib eltrd CPT 33273 | not published | not published | $601.53 – $8,185.00 | 10 |
| Rep perf anoper fistu CPT 46715 | not published | not published | $840.55 – $4,386.82 | 3 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $1,091.33 – $6,734.39 | 10 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $1,086.50 – $14,934.65 | 11 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $38.67 – $233.39 | 9 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $272.87 – $5,712.83 | 11 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $105.25 – $273.81 | 8 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $100.65 – $273.81 | 8 |
| Repr per/vag pouch dbl proc CPT 46712 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repr per/vag pouch sngl proc CPT 46710 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Repr pul art unifocal w/cpb CPT 33926 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Reptilase test CPT 85635 | $139.70 | $254.00 | $7.00 – $21.08 | 9 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $600.56 – $3,359.00 | 11 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $1,100.57 – $8,185.00 | 11 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $1,091.24 – $13,324.34 | 11 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $965.13 – $7,369.13 | 11 |
| Rerevise eye muscles add-on CPT 67332 | not published | not published | $306.42 – $1,594.00 | 3 |
| Rescj external cardiac tumor CPT 33130 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resc recr ovr tbl pp utr mal CPT 58958 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $1,411.00 – $5,978.45 | 11 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $2,074.00 – $8,185.00 | 10 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $404.65 – $6,734.39 | 11 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect diaphragm complex CPT 39561 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect distal finger tumor CPT 26262 | not published | not published | $963.88 – $3,309.55 | 11 |
| Resect enlarged toe CPT 28341 | not published | not published | $749.77 – $6,734.39 | 11 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $629.95 – $6,734.39 | 11 |
| Resect/excise cranial lesion CPT 61600 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect/excise cranial lesion CPT 61601 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect/excise cranial lesion CPT 61605 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect/excise cranial lesion CPT 61606 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect/excise cranial lesion CPT 61607 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $1,059.30 – $5,978.45 | 11 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $1,529.32 – $8,185.00 | 10 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $3,107.84 – $6,734.39 | 8 |
| Resect fibula tumor CPT 27646 | not published | not published | $2,326.09 – $6,734.39 | 8 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $1,582.32 – $8,185.00 | 10 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $1,771.91 – $8,185.00 | 10 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $1,305.84 – $5,978.45 | 11 |
| Resect heart sac lesion 33050 CPT 33050 | 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.