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 |
|---|---|---|---|---|
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $542.30 | $986.00 | $100.55 – $215.17 | 10 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $385.00 | $700.00 | $100.55 – $215.17 | 9 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $645.15 | $1,173.00 | $100.55 – $215.17 | 10 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,171.50 | $2,130.00 | $229.48 – $491.09 | 10 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $585.75 | $1,065.00 | $100.55 – $215.17 | 10 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $440.00 | $800.00 | $100.55 – $215.17 | 10 |
| Scan proc cranial extra CPT 61782 | not published | not published | $262.50 – $604.50 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $354.80 – $604.50 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $348.41 – $604.50 | 2 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,358.37 – $11,466.91 | 10 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,627.35 | $4,777.00 | $179.89 – $6,535.00 | 11 |
| Scope plantar fasciotomy CPT 29893 | $3,473.80 | $6,316.00 | $671.63 – $7,185.00 | 12 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $3,840.02 | $6,981.86 | $10,445.31 – $10,445.31 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $14.31 – $39.68 | 10 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $20.12 – $35.99 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $19.11 – $68.35 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $26.87 – $94.10 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $56.69 | 10 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $158.95 | $289.00 | $25.48 – $57.89 | 10 |
| Screen cerv/vag thin layer HCPCS G0123 | $250.25 | $455.00 | $20.26 – $43.36 | 10 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $20.12 – $35.99 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $278.95 – $2,100.00 | 12 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $278.52 – $2,100.00 | 12 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $45.10 | $82.00 | $18.05 – $38.63 | 10 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $60.50 | 9 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $17.50 – $99.19 | 10 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $51.53 | 10 |
| Screening Mammogram CPT 77067 | $346.50 | $630.00 | $81.39 – $202.77 | 10 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $20.12 – $35.99 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $288.20 | $524.00 | $19.31 – $41.32 | 10 |
| Screen pap by tech w md supv HCPCS P3000 | $139.15 | $253.00 | $13.28 – $39.68 | 10 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $6.60 | $12.00 | $4.75 – $4.75 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $5,607.98 | $10,196.32 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $69.25 – $148.19 | 10 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,322.65 | $4,223.00 | $364.83 – $604.50 | 2 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $8.61 – $73.74 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $105.05 | $191.00 | $2.70 – $5.78 | 11 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,541.57 – $3,900.02 | 2 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Select picture audiometry CPT 92583 | $105.60 | $192.00 | $56.74 – $121.42 | 10 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | $3.21 | $5.84 | $1.65 – $1.76 | 2 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $13.47 – $13.47 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $20.56 – $59.53 | 9 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $82.50 | $150.00 | $21.04 – $22.57 | 2 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $82.50 | $150.00 | $15.77 – $16.54 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $13.91 | 10 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $9.00 – $25.79 | 11 |
| Semen analysis w/count CPT 89310 | not published | not published | $6.00 – $18.43 | 11 |
| Sensorimotor examination CPT 92060 | not published | not published | $39.26 – $121.42 | 10 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $35.92 – $106.30 | 10 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $594.59 – $4,893.31 | 12 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $75.30 – $410.88 | 9 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,049.80 – $14,934.65 | 12 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $967.37 – $6,734.39 | 12 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,141.24 – $14,934.65 | 12 |
| Serial casting application 97139app CPT 97139 | not published | not published | $28.28 – $28.28 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $49.01 – $115.65 | 2 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.96 – $2.96 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $93.41 | 10 |
| Sertraline (zoloft) - sendout CPT 80332 | $283.25 | $515.00 | $22.23 – $35.46 | 2 |
| Set radiation therapy field CPT 77280 | $1,153.35 | $2,097.00 | $129.27 – $333.48 | 11 |
| Set radiation therapy field CPT 77285 | $1,214.40 | $2,208.00 | $306.00 – $770.65 | 11 |
| Set radiation therapy field CPT 77290 | $2,107.05 | $3,831.00 | $306.00 – $770.65 | 11 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $53.58 – $632.15 | 10 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $34.55 – $37.33 | 2 |
| Sever cranial nerve CPT 64771 | not published | not published | $880.36 – $4,019.07 | 12 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,889.14 – $4,042.76 | 10 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,230.51 – $4,773.29 | 10 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,117.21 – $4,530.83 | 10 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,889.14 – $4,042.76 | 10 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,230.51 – $4,773.29 | 10 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,230.51 – $4,773.29 | 10 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,889.14 – $4,042.76 | 10 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $2,117.21 – $4,530.83 | 10 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $806.80 – $1,726.55 | 10 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $38.48 | 10 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $17.10 | 10 |
| Sex transformation f to m CPT 55980 | not published | not published | $1,189.00 – $7,255.07 | 9 |
| Sex transformation m to f CPT 55970 | not published | not published | $1,189.00 – $10,295.98 | 9 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $173.93 – $413.56 | 10 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $152.64 – $3,359.00 | 11 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $770.00 | $1,400.00 | $69.00 – $412.94 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $95.08 – $412.94 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $112.46 – $836.68 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $957.00 | $1,740.00 | $145.62 – $836.68 | 10 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $57.59 – $412.94 | 10 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $770.00 | $1,400.00 | $74.73 – $412.94 | 10 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $95.18 – $412.94 | 10 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $107.21 – $836.68 | 10 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $79.60 | $144.72 | $51.62 – $836.68 | 10 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $98.21 | $178.56 | $77.69 – $412.94 | 10 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $90.52 – $412.94 | 10 |
| Sheath above knee HCPCS L8410 | not published | not published | $28.16 – $60.26 | 10 |
| Sheath below knee HCPCS L8400 | not published | not published | $19.27 – $41.24 | 10 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,647.15 | $6,631.18 | not published | 0 |
| Sheath upper limb HCPCS L8415 | not published | not published | $28.64 – $61.29 | 10 |
| Shigella antibody CPT 86771 | not published | not published | $9.00 – $52.39 | 11 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $4,870.31 – $10,422.46 | 10 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $4,668.36 – $9,990.29 | 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.