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 |
|---|---|---|---|---|
| Revise eye sockets CPT 21261 | not published | not published | $3,649.42 – $12,184.12 | 9 |
| Revise eye sockets CPT 21263 | not published | not published | $3,374.15 – $12,184.12 | 9 |
| Revise eye sockets CPT 21267 | not published | not published | $1,933.00 – $12,184.12 | 11 |
| Revise eye sockets CPT 21268 | not published | not published | $3,019.64 – $12,184.12 | 8 |
| Revise eye with implant CPT 65093 | not published | not published | $1,095.56 – $8,091.55 | 11 |
| Revise finger joint each CPT 26135 | not published | not published | $847.94 – $6,734.39 | 11 |
| Revise finger joint each CPT 26140 | not published | not published | $779.25 – $3,309.55 | 11 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $558.83 – $7,293.65 | 10 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $806.78 – $4,893.31 | 11 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $981.23 – $8,091.55 | 11 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $963.65 – $8,091.55 | 11 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $1,053.35 – $4,893.31 | 11 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $966.33 – $8,091.55 | 11 |
| Revise graft w/vein CPT 35879 | not published | not published | $1,377.22 – $11,452.76 | 9 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,539.09 – $11,452.76 | 9 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $1,323.69 – $14,934.65 | 11 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,488.29 – $14,934.65 | 9 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $844.26 – $7,369.13 | 11 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,884.69 – $26,424.41 | 8 |
| Revise hip joint replacement CPT 27138 | not published | not published | $2,307.50 – $26,424.41 | 8 |
| Revise hip joint replacement CPT 27137 | not published | not published | $2,221.48 – $26,424.41 | 8 |
| Revise/implant finger joint CPT 26536 | not published | not published | $1,125.39 – $14,934.65 | 11 |
| Revise kneecap CPT 27437 | not published | not published | $1,010.78 – $14,934.65 | 11 |
| Revise kneecap with implant CPT 27438 | not published | not published | $1,281.56 – $26,424.41 | 11 |
| Revise knuckle joint CPT 26530 | not published | not published | $830.88 – $14,934.65 | 11 |
| Revise knuckle with implant CPT 26531 | not published | not published | $966.10 – $14,934.65 | 11 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,164.19 – $4,019.07 | 11 |
| Revise lower leg tendon CPT 27690 | not published | not published | $974.99 – $14,934.65 | 11 |
| Revise lower leg tendon CPT 27691 | not published | not published | $1,133.31 – $14,934.65 | 11 |
| Revise lower leg tendons CPT 27686 | not published | not published | $814.79 – $6,734.39 | 11 |
| Revise middle ear bone CPT 69660 | not published | not published | $1,399.15 – $12,184.12 | 11 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,755.00 – $12,184.12 | 11 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,752.96 – $12,184.12 | 11 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $1,573.84 – $12,184.12 | 11 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $1,933.00 – $12,184.12 | 11 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $1,848.24 – $12,184.12 | 11 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $1,933.00 – $12,184.12 | 11 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $1,933.00 – $12,184.12 | 11 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $1,933.00 – $12,184.12 | 11 |
| Revise ocular implant CPT 65125 | not published | not published | $439.34 – $5,316.00 | 10 |
| Revise ocular implant CPT 65150 | not published | not published | $1,041.44 – $8,091.55 | 11 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $1,391.18 – $4,386.82 | 3 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $1,175.14 – $14,934.65 | 11 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,396.13 – $14,934.65 | 11 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,428.30 – $7,255.07 | 11 |
| Revise penis/urethra CPT 54332 | not published | not published | $1,540.25 – $7,255.07 | 9 |
| Revise penis/urethra CPT 54336 | not published | not published | $1,810.59 – $7,255.07 | 9 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $1,336.12 – $15,262.36 | 10 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,459.00 – $6,734.39 | 11 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,397.14 – $26,424.41 | 11 |
| Revise radius & ulna CPT 25375 | not published | not published | $1,452.13 – $6,734.39 | 11 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $2,332.24 – $26,424.41 | 9 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $2,681.51 – $36,087.88 | 9 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $893.22 – $7,195.64 | 9 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $605.11 – $22,933.75 | 11 |
| Revise/remove sling repair CPT 57287 | not published | not published | $1,132.21 – $6,662.61 | 9 |
| Revise & repair chest wall CPT 32906 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise/replace knee joint CPT 27486 | not published | not published | $2,130.27 – $26,424.41 | 8 |
| Revise/replace knee joint CPT 27487 | not published | not published | $2,656.60 – $36,087.88 | 8 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $1,173.71 – $22,933.75 | 10 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $539.08 – $7,255.07 | 11 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $659.02 – $13,324.34 | 11 |
| Revise spinal cord vsls crvl CPT 63250 | not published | not published | $1,189.00 – $10,454.00 | 4 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $1,189.00 – $10,454.00 | 4 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $4,386.82 – $10,454.00 | 4 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $690.44 – $13,116.82 | 10 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $1,346.44 – $22,933.75 | 10 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise temple bone implant CPT 69718 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $1,062.55 – $14,934.65 | 11 |
| Revise thumb tendon CPT 26490 | not published | not published | $1,264.51 – $6,734.39 | 11 |
| Revise thumb tendon CPT 26496 | not published | not published | $1,368.58 – $6,734.39 | 11 |
| Revise two eye muscles CPT 67312 | not published | not published | $997.10 – $8,091.55 | 11 |
| Revise two eye muscles CPT 67316 | not published | not published | $1,069.63 – $4,893.31 | 11 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $622.15 – $4,019.07 | 11 |
| Revise ureter CPT 50727 | not published | not published | $781.90 – $7,255.07 | 9 |
| Revise ureter CPT 50728 | not published | not published | $1,069.56 – $4,386.82 | 3 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $1,220.82 – $11,035.58 | 11 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $1,254.00 – $11,035.58 | 11 |
| Revise urine flow CPT 50830 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise vag graft open abd CPT 57296 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $767.20 – $6,662.61 | 10 |
| Revise windpipe scar CPT 31830 | not published | not published | $558.53 – $6,823.84 | 11 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $867.42 – $6,734.39 | 11 |
| Revise wrist joint CPT 25332 | not published | not published | $1,289.63 – $6,734.39 | 11 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of amputation CPT 24935 | not published | not published | $1,851.85 – $14,934.65 | 9 |
| Revision of ankle joint CPT 27700 | not published | not published | $1,085.71 – $14,934.65 | 11 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $1,182.98 – $8,185.00 | 10 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,219.39 – $4,019.07 | 11 |
| Revision of big toe CPT 28310 | not published | not published | $558.56 – $14,934.65 | 11 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of bladder neck CPT 52500 | not published | not published | $753.66 – $7,255.07 | 11 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of calf tendon CPT 27687 | not published | not published | $695.37 – $6,734.39 | 11 |
| Revision of cervix CPT 57720 | not published | not published | $509.70 – $6,662.61 | 11 |
| Revision of cervix CPT 59320 | not published | not published | $229.90 – $6,662.61 | 11 |
| Revision of circulation CPT 37140 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of circulation CPT 37145 | 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.