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 |
|---|---|---|---|---|
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $298.00 – $3,193.45 | 12 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $617.38 – $6,823.84 | 12 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,759.84 – $5,147.21 | 3 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $2,123.67 – $5,147.21 | 3 |
| Revision of knee joint CPT 27440 | $25,896.20 | $47,084.00 | $1,216.55 – $26,424.41 | 11 |
| Revision of knee joint CPT 27441 | not published | not published | $1,255.71 – $26,424.41 | 12 |
| Revision of knee joint CPT 27442 | $11,971.85 | $21,767.00 | $1,323.28 – $26,424.41 | 12 |
| Revision of knee joint CPT 27443 | $10,138.15 | $18,433.00 | $1,244.97 – $26,424.41 | 12 |
| Revision of knee joint CPT 27446 | $17,234.25 | $31,335.00 | $1,743.25 – $26,424.41 | 10 |
| Revision of knee joint CPT 27445 | $30,471.65 | $55,403.00 | $1,904.18 – $11,495.55 | 3 |
| Revision of larynx CPT 31400 | not published | not published | $1,254.00 – $12,184.12 | 12 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $354.85 – $6,498.69 | 12 |
| Revision of lung CPT 32940 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of neck muscle CPT 21700 | not published | not published | $539.79 – $14,934.65 | 12 |
| Revision of neck muscle CPT 21720 | not published | not published | $807.91 – $6,734.39 | 12 |
| Revision of neck muscle CPT 21725 | not published | not published | $681.06 – $2,891.00 | 12 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $807.37 – $14,934.65 | 9 |
| Revision of nose CPT 30120 | $7,873.80 | $14,316.00 | $635.91 – $6,823.84 | 12 |
| Revision of nose CPT 30430 | $8,480.45 | $15,419.00 | $1,459.00 – $12,184.12 | 12 |
| Revision of nose CPT 30435 | not published | not published | $1,755.00 – $12,184.12 | 12 |
| Revision of nose CPT 30450 | $14,263.70 | $25,934.00 | $1,933.00 – $12,184.12 | 12 |
| Revision of nose CPT 30460 | $13,242.90 | $24,078.00 | $1,248.14 – $12,184.12 | 12 |
| Revision of nose CPT 30462 | $12,038.95 | $21,889.00 | $2,399.00 – $12,184.12 | 12 |
| Revision of pelvis CPT 27158 | not published | not published | $2,122.57 – $14,934.65 | 9 |
| Revision of penis CPT 54300 | not published | not published | $985.73 – $7,255.07 | 12 |
| Revision of penis CPT 54304 | not published | not published | $1,141.59 – $7,255.07 | 12 |
| Revision of penis CPT 54420 | $3,392.95 | $6,169.00 | $1,073.54 – $7,255.07 | 12 |
| Revision of penis CPT 54430 | not published | not published | $976.37 – $4,386.82 | 3 |
| Revision of penis CPT 54435 | not published | not published | $634.04 – $7,255.07 | 12 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,933.00 – $12,184.12 | 12 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of radius CPT 25350 | $13,206.60 | $24,012.00 | $1,031.31 – $14,934.65 | 12 |
| Revision of radius CPT 25355 | not published | not published | $1,168.21 – $6,734.39 | 12 |
| Revision of sciatic nerve CPT 64712 | $10,191.50 | $18,530.00 | $905.58 – $4,019.07 | 12 |
| Revision of scrotum CPT 55175 | not published | not published | $558.43 – $7,255.07 | 12 |
| Revision of scrotum CPT 55180 | not published | not published | $1,051.84 – $11,035.58 | 12 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,042.91 – $11,527.33 | 12 |
| Revision of testis CPT 54660 | not published | not published | $548.73 – $11,035.58 | 12 |
| Revision of thigh muscles CPT 27430 | $8,780.20 | $15,964.00 | $1,133.34 – $14,934.65 | 12 |
| Revision of toe CPT 28312 | not published | not published | $527.09 – $6,734.39 | 12 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of ulna CPT 25360 | $9,607.40 | $17,468.00 | $1,003.86 – $14,934.65 | 12 |
| Revision of unstable kneecap CPT 27420 | $8,780.20 | $15,964.00 | $1,144.79 – $14,934.65 | 12 |
| Revision of unstable kneecap CPT 27422 | $8,780.20 | $15,964.00 | $1,132.29 – $14,934.65 | 12 |
| Revision of upper arm CPT 24940 | not published | not published | $1,657.40 – $26,424.41 | 9 |
| Revision of ureter CPT 50700 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision of urethra CPT 53450 | not published | not published | $625.66 – $7,255.07 | 12 |
| Revision of urethra CPT 53460 | not published | not published | $700.82 – $7,255.07 | 12 |
| Revision of urethra CPT 57220 | not published | not published | $527.83 – $10,295.98 | 12 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,130.38 – $11,452.76 | 12 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,275.57 – $12,184.12 | 12 |
| Revision/removal of kneecap CPT 27424 | $13,334.20 | $24,244.00 | $1,142.80 – $14,934.65 | 12 |
| Revision tips CPT 37183 | $16,754.65 | $30,463.00 | $561.95 – $11,714.30 | 10 |
| Revis reconst shoulder joint CPT 23473 | $10,029.25 | $18,235.00 | $2,439.98 – $26,424.41 | 10 |
| Revis reconst shoulder joint CPT 23474 | $10,757.45 | $19,559.00 | $2,634.54 – $26,424.41 | 9 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $119.69 – $333.26 | 10 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $119.69 – $1,545.22 | 11 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,857.77 – $11,452.76 | 11 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,788.83 – $11,452.76 | 11 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,541.77 – $12,184.12 | 12 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,682.28 – $12,184.12 | 12 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,459.00 – $11,035.58 | 12 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,362.45 – $7,195.64 | 10 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,646.41 – $12,184.12 | 12 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $4,960.45 | $9,019.00 | $456.86 – $7,195.64 | 12 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $218.60 – $7,195.64 | 12 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $4,246.00 | $7,720.00 | $350.03 – $7,195.64 | 12 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $3,515.15 – $36,087.88 | 9 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $3,514.52 – $36,087.88 | 9 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $922.33 – $63,510.93 | 10 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,189.00 – $36,087.88 | 9 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $1,319.16 – $22,933.75 | 10 |
| Revsc opn/prq tib/pero stent CPT 37234 | $8,646.55 | $15,721.00 | $419.28 – $11,495.55 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $11.00 – $21.45 | 11 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $298.38 – $6,535.00 | 11 |
| Rheumatoid factor qualitative CPT 86430 | $89.65 | $163.00 | $4.00 – $13.14 | 11 |
| Rheumatoid factor quantitative CPT 86431 | $138.05 | $251.00 | $4.00 – $12.13 | 11 |
| Rh ig IV CPT 90386 | not published | not published | $10.51 – $15.97 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $31.33 – $171.20 | 10 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $6,883.80 | $12,516.00 | $1,594.00 – $12,184.12 | 12 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $5.56 – $7.93 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $26.93 – $39.09 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $35.79 – $69.79 | 11 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $87.96 – $133.31 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $86.97 – $125.77 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $435.94 – $6,672.50 | 10 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $286.85 – $6,672.50 | 10 |
| Rhythm ecg with report CPT 93040 | not published | not published | $19.48 – $21.31 | 2 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,135.61 – $12,184.12 | 12 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $99.14 – $212.16 | 10 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,394.00 – $3,189.00 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.16 – $0.23 | 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.