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 |
|---|---|---|---|---|
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,556.71 – $11,495.55 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $1,172.76 – $13,324.34 | 11 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $1,134.31 – $12,442.83 | 11 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $6,105.00 | $11,100.00 | $871.23 – $13,324.34 | 11 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $519.87 – $7,369.13 | 11 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $723.04 – $12,442.83 | 11 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,886.53 – $11,495.55 | 4 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $1,346.09 – $11,495.55 | 4 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $1,305.95 – $11,495.55 | 4 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $971.54 – $13,324.34 | 11 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $868.87 – $12,442.83 | 11 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $641.10 – $7,369.13 | 11 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,498.58 – $11,452.76 | 10 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $7,278.15 | $13,233.00 | $1,386.37 – $11,452.76 | 10 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr choanal atresia ntranasl CPT 30540 | $8,221.40 | $14,948.00 | $1,113.01 – $12,184.12 | 12 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,511.58 – $12,184.12 | 12 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | $11,641.85 | $21,167.00 | $1,189.00 – $4,386.82 | 3 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $963.03 – $7,369.13 | 12 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $1,214.83 – $12,442.83 | 10 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,459.00 – $11,035.58 | 12 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $870.84 – $7,255.07 | 12 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $937.82 – $7,369.13 | 12 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $622.93 – $7,369.13 | 12 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $924.14 – $7,369.13 | 12 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $633.61 – $13,324.34 | 12 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,460.13 – $7,369.13 | 10 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,669.55 – $5,712.83 | 8 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $9,359.90 | $17,018.00 | $257.22 – $12,184.12 | 11 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $228.92 – $12,184.12 | 10 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $1,130.91 – $11,495.55 | 4 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $1,395.50 – $11,495.55 | 4 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $23.83 – $23.83 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $17.21 – $121.42 | 10 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $880.38 – $7,369.13 | 12 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $9,288.95 | $16,889.00 | $553.65 – $14,934.65 | 12 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $224.42 – $480.25 | 10 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,440.72 – $19,483.75 | 12 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $3,108.92 – $14,934.65 | 9 |
| Rsv assay w/optic CPT 87807 | $414.70 | $754.00 | $13.10 – $28.03 | 10 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $28.66 – $274.02 | 9 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $35.89 – $76.81 | 9 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $35.89 – $76.81 | 9 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $35.89 – $76.81 | 9 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.07 – $53.65 | 9 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $24.73 – $52.92 | 9 |
| Rubella antibody igg CPT 86762 | $334.40 | $608.00 | $14.39 – $30.79 | 11 |
| Rubeola ag if CPT 87283 | not published | not published | $14.00 – $130.11 | 11 |
| Rubeola antibody igg CPT 86765 | $277.20 | $504.00 | $12.88 – $27.56 | 11 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $296.56 – $705.15 | 9 |
| Russell viper venom diluted CPT 85613 | $123.20 | $224.00 | $7.00 – $20.50 | 11 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $825.37 – $1,962.55 | 9 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $278.64 – $596.29 | 10 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $37.64 – $73.40 | 11 |
| Salivary gland function exam CPT 78232 | not published | not published | $119.59 – $822.80 | 11 |
| Salivary gland imaging CPT 78230 | not published | not published | $204.93 – $822.80 | 11 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $119.59 – $822.80 | 11 |
| Salmonella antibody CPT 86768 | not published | not published | $9.00 – $28.23 | 11 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,321.10 – $6,662.61 | 10 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $128.05 – $274.02 | 10 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $8.59 – $8.59 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $62.47 – $121.82 | 11 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $38.00 – $110.06 | 10 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $184.16 – $258.46 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $42.90 | $78.00 | $35.33 – $75.61 | 10 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $66.26 – $150.42 | 10 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $617.37 – $12,495.04 | 12 |
| Sbrt management CPT 77435 | $1,478.40 | $2,688.00 | $983.74 – $1,056.49 | 2 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,059.96 – $6,548.31 | 9 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $204.61 – $204.61 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $214.64 – $235.04 | 2 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $103.68 – $113.63 | 2 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $150.46 – $164.53 | 2 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $55.60 – $61.40 | 2 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $97.71 – $209.09 | 10 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,560.90 | $2,838.00 | $229.48 – $491.09 | 10 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $700.70 | $1,274.00 | $100.55 – $215.17 | 10 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $769.45 | $1,399.00 | $205.44 – $491.09 | 10 |
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.