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 |
|---|---|---|---|---|
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,411.00 – $5,978.45 | 11 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $2,074.00 – $8,185.00 | 10 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $3,809.24 – $14,934.65 | 8 |
| Resect hip tumor CPT 27075 | not published | not published | $3,152.65 – $14,934.65 | 8 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $4,248.13 – $14,934.65 | 8 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect inferior turbinate CPT 30140 | not published | not published | $271.19 – $6,823.84 | 11 |
| Resection of elbow joint CPT 24155 | not published | not published | $1,298.20 – $6,734.39 | 11 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $1,503.27 – $12,184.12 | 11 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $1,411.00 – $5,978.45 | 11 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $1,912.81 – $8,185.00 | 10 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $1,120.50 – $6,734.39 | 11 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $2,035.83 – $8,185.00 | 10 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,758.74 – $4,386.82 | 3 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $384.30 – $6,734.39 | 11 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $723.42 – $3,309.55 | 11 |
| Resect prox finger tumor CPT 26260 | not published | not published | $1,214.53 – $6,734.39 | 11 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $2,226.18 – $14,934.65 | 10 |
| Resect recurrent gyn mal CPT 58957 | not published | not published | $1,189.00 – $4,386.82 | 2 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $1,459.00 – $6,734.39 | 11 |
| Resect tarsal tumor CPT 28171 | not published | not published | $1,459.00 – $6,734.39 | 11 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $1,411.00 – $5,978.45 | 11 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $2,074.00 – $8,185.00 | 10 |
| Resect tibia tumor CPT 27645 | not published | not published | $2,677.14 – $6,734.39 | 8 |
| Resin three surfaces-anterio HCPCS D2332 | not published | not published | $122.45 – $1,330.59 | 7 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $11.73 – $22.87 | 9 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $436.91 – $634.84 | 2 |
| #resp virpnl dfa-adenovirus CPT 87260 | $80.30 | $146.00 | $9.00 – $30.88 | 9 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $81.40 | $148.00 | $9.00 – $35.16 | 9 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $218.06 – $466.65 | 8 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $119.69 – $2,524.52 | 8 |
| Resuscitation cardiopulmonary CPT 92950 | $979.88 | $1,781.60 | $207.67 – $1,496.00 | 9 |
| Resuscitation delivery/birthing room CPT 99465 | $1,196.45 | $2,175.36 | $218.07 – $1,360.35 | 8 |
| Reteplase injection HCPCS J2993 | not published | not published | $3,165.94 – $4,725.77 | 2 |
| Reticulated platelet assay CPT 85055 | not published | not published | $30.00 – $76.48 | 9 |
| Reticulocyte automated CPT 85045 | not published | not published | $3.00 – $8.54 | 9 |
| Reticulocyte direct measurement automated CPT 85046 | $62.15 | $113.00 | $5.57 – $11.92 | 9 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $30.98 – $60.41 | 9 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $189.43 – $1,872.00 | 2 |
| Retrieval of oocyte CPT 58970 | not published | not published | $299.44 – $1,895.69 | 11 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.59 – $41.92 | 8 |
| Reusable nipple prosthesis HCPCS L8032 | not published | not published | $48.49 – $103.77 | 7 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | not published | not published | $5,473.97 – $11,714.30 | 6 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | not published | not published | $5,473.97 – $11,714.30 | 6 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | not published | not published | $17,630.81 – $37,729.94 | 6 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | not published | not published | $17,630.81 – $37,729.94 | 6 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | not published | not published | $17,630.81 – $37,729.94 | 6 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Revasc evasc imvt angio sf 1st CPT 37296 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | not published | not published | $5,473.97 – $11,714.30 | 6 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Revasc evasc ivt stent sf 1st CPT 37258 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | not published | not published | $11,102.85 – $23,760.10 | 6 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | not published | not published | $17,630.81 – $37,729.94 | 6 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | not published | not published | $17,630.81 – $37,729.94 | 6 |
| Revasc intra lithotrip-ather HCPCS C9766 | $11,689.84 | $21,254.25 | $4,386.82 – $37,729.94 | 9 |
| Revasc intra lithotrip-stent HCPCS C9765 | $11,689.84 | $21,254.25 | $4,386.82 – $37,729.94 | 9 |
| Revasc intravasc lithotripsy HCPCS C9764 | $5,769.88 | $10,490.70 | $4,386.82 – $23,760.10 | 9 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $18,697.66 | $33,995.75 | $9,166.00 – $37,729.94 | 9 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $18,697.66 | $33,995.75 | $4,386.82 – $37,729.94 | 9 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $11,689.84 | $21,254.25 | $9,166.00 – $23,760.10 | 9 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $18,697.66 | $33,995.75 | $9,166.00 – $37,729.94 | 9 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $18,697.66 | $33,995.75 | $9,166.00 – $37,729.94 | 9 |
| Revascularization penis CPT 37788 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.29 – $0.31 | 3 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $1,019.20 – $7,369.13 | 11 |
| Revise additional leg tendon CPT 27692 | not published | not published | $154.77 – $1,496.00 | 3 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $1,254.00 – $4,749.93 | 11 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $774.29 – $4,019.07 | 11 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $1,221.69 – $13,666.71 | 11 |
| Revise circulation to head CPT 61708 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise circulation to head CPT 61705 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise circulation to head CPT 61710 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise eye CPT 65091 | not published | not published | $1,105.47 – $8,091.55 | 11 |
| Revise eyelashes CPT 67825 | not published | not published | $182.35 – $1,579.00 | 10 |
| Revise eyelashes CPT 67835 | not published | not published | $660.29 – $4,893.31 | 11 |
| Revise eyelid defect CPT 67909 | not published | not published | $654.16 – $4,893.31 | 11 |
| Revise eyelid defect CPT 67911 | not published | not published | $837.79 – $4,893.31 | 11 |
| Revise eyelid lining CPT 68330 | not published | not published | $688.03 – $4,749.93 | 11 |
| Revise eyelid lining CPT 68360 | not published | not published | $613.74 – $8,091.55 | 11 |
| Revise eyelid lining CPT 68362 | not published | not published | $979.67 – $4,893.31 | 11 |
| Revise eye muscle CPT 67311 | not published | not published | $682.15 – $4,893.31 | 11 |
| Revise eye muscle CPT 67314 | not published | not published | $682.15 – $4,893.31 | 11 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $439.80 – $1,594.00 | 3 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $1,033.74 – $4,893.31 | 11 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $262.88 – $1,594.00 | 3 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $228.96 – $1,594.00 | 3 |
| Revise eye socket implant CPT 67560 | not published | not published | $1,254.00 – $8,091.55 | 11 |
| Revise eye sockets CPT 21260 | not published | not published | $2,055.77 – $12,184.12 | 9 |
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.