SSM Health St. Anthony Hospital - Oklahoma City
1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311
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 |
|---|---|---|---|---|
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.85 – $4.00 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $7.34 | 11 |
| Bowel imaging CPT 78290 | $420.75 | $765.00 | $310.00 – $822.80 | 11 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $173.00 – $370.22 | 10 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $512.22 – $1,096.15 | 10 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $362.45 – $775.64 | 10 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $636.95 – $1,363.07 | 10 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,037.61 – $2,220.49 | 10 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $138.20 – $295.75 | 10 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $105.64 – $226.07 | 10 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $77.24 – $165.29 | 10 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $122.31 – $261.74 | 10 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $301.13 – $644.42 | 10 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $870.15 – $1,862.12 | 10 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $728.43 – $1,558.84 | 10 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $507.88 – $1,086.86 | 10 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,836.48 – $3,930.07 | 10 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,203.61 – $4,715.73 | 10 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $752.04 – $1,609.37 | 10 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,268.37 – $2,714.31 | 10 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,131.82 – $2,422.09 | 10 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $413.94 – $885.83 | 10 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $107.96 – $231.03 | 10 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,240.26 – $4,794.16 | 10 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $573.13 – $1,226.50 | 10 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $698.63 – $1,495.07 | 10 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $165.33 – $353.81 | 10 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $455.16 – $974.04 | 10 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,076.32 – $2,303.32 | 10 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $122.90 – $263.01 | 10 |
| Brace m arm board HCPCS L3809 | not published | not published | $281.17 – $601.70 | 10 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,501.02 – $3,212.18 | 10 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,228.79 – $2,629.61 | 10 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $193.58 | $351.97 | $281.17 – $601.70 | 10 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $136.83 – $292.82 | 10 |
| Brace wrist classic lft sm HCPCS L3908 | $46.38 | $84.33 | $67.37 – $144.17 | 10 |
| Brachioplasty 15836 CPT 15836 | $3,854.40 | $7,008.00 | $1,204.05 – $5,978.45 | 11 |
| Brach/thor cath 1st CPT 36215 | $815.10 | $1,482.00 | $319.52 – $604.50 | 2 |
| Brach/thor cath 2nd CPT 36216 | $726.55 | $1,321.00 | $408.24 – $604.50 | 2 |
| Brach/thor cath 3rd CPT 36217 | $693.55 | $1,261.00 | $499.40 – $604.50 | 2 |
| Brach/thor cath addl CPT 36218 | $160.05 | $291.00 | $78.84 – $604.50 | 2 |
| Brachy source i-125 injection HCPCS C2638 | $96.36 | $175.20 | $35.26 – $75.46 | 9 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $142.25 | $258.63 | $36.64 – $78.41 | 9 |
| Brachy source palladium HCPCS C2640 | $147.59 | $268.35 | $88.26 – $188.88 | 9 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $64.48 – $143.59 | 9 |
| Brachy source yttrium-90 HCPCS C2616 | $29,811.43 | $54,202.60 | $17,771.01 – $38,029.96 | 9 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $99.80 – $213.57 | 9 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $203.84 | $370.61 | $357.49 – $765.03 | 9 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $119.11 – $254.90 | 9 |
| Brachytx isodose complex CPT 77318 | $2,039.95 | $3,709.00 | $360.12 – $770.65 | 10 |
| Brachytx isodose intermed CPT 77317 | $887.70 | $1,614.00 | $328.01 – $770.65 | 10 |
| Brachytx isodose plan simple CPT 77316 | $755.70 | $1,374.00 | $248.97 – $770.65 | 10 |
| Braf gene CPT 81210 | $849.20 | $1,544.00 | $161.33 – $375.36 | 10 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Brain flow imaging only CPT 78610 | not published | not published | $213.08 – $1,117.53 | 11 |
| Brain image < 4 views CPT 78600 | not published | not published | $212.61 – $822.80 | 11 |
| Brain image 4+ views CPT 78605 | not published | not published | $231.28 – $1,117.53 | 11 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $254.29 – $822.80 | 11 |
| Brain image w/flow 4 + views CPT 78606 | $743.05 | $1,351.00 | $390.78 – $1,117.53 | 11 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,076.25 | $3,775.00 | $335.54 – $718.05 | 10 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,055.35 | $3,737.00 | $255.29 – $718.05 | 10 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,483.35 | $2,697.00 | $229.48 – $491.09 | 10 |
| Brain MRI (with and without contrast) CPT 70553 | $2,802.80 | $5,096.00 | $316.62 – $892.83 | 10 |
| Brain MRI (with contrast) CPT 70552 | $2,393.05 | $4,351.00 | $279.73 – $892.83 | 10 |
| Brain MRI (without contrast) CPT 70551 | $2,390.30 | $4,346.00 | $190.15 – $604.30 | 10 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $45.92 – $98.27 | 10 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $421.20 – $1,001.52 | 10 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $525.81 – $1,250.25 | 10 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $83.92 – $803.04 | 10 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $271.22 – $644.89 | 10 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $254.59 – $605.36 | 10 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $166.61 – $396.16 | 10 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $83.92 – $803.04 | 10 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $254.59 – $605.36 | 10 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $159.03 – $941.60 | 10 |
| Brcassure comprehensive panel-sendout CPT 81162 | $5,623.75 | $10,225.00 | $1,824.88 – $3,905.24 | 10 |
| Breast augmentation 19325 CPT 19325 | $11,438.90 | $20,798.00 | $930.66 – $17,224.29 | 12 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,470.60 | $4,492.00 | $233.86 – $3,399.30 | 11 |
| Breast punct aspir cyst, bil CPT 19000 | $1,124.75 | $2,045.00 | $64.37 – $1,579.00 | 11 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,748.18 – $31,317.03 | 12 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,675.63 – $7,567.45 | 3 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Breast reduction CPT 19318 | $9,331.85 | $16,967.00 | $1,594.00 – $13,666.71 | 12 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $92.44 – $444.41 | 10 |
| Breathing response hypoxia CPT 94450 | not published | not published | $87.13 – $273.81 | 10 |
| Breath recording infant CPT 94772 | not published | not published | $281.25 – $928.55 | 10 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $84.70 – $202.04 | 11 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $9.88 – $23.67 | 11 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $279.21 – $544.45 | 11 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $510,103.92 – $994,702.64 | 11 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $214.99 – $1,579.00 | 12 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $101.59 – $2,100.00 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $333.46 – $7,673.63 | 11 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $369.69 – $7,673.63 | 11 |
| Bronchial allergy tests CPT 95070 | not published | not published | $50.23 – $928.55 | 10 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $161.23 – $1,579.00 | 12 |
| Bronchial challenge CPT 94070 | not published | not published | $51.67 – $768.03 | 10 |
| Bronchial valve init insert CPT 31647 | not published | not published | $310.73 – $14,525.57 | 11 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $101.42 – $3,663.36 | 11 |
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.