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 |
|---|---|---|---|---|
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $23,134.38 – $49,507.57 | 10 |
| Sho arthrs dx +- synovial bx CPT 29805 | $9,089.85 | $16,527.00 | $713.73 – $6,734.39 | 12 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $6,257.35 | $11,377.00 | $1,394.15 – $14,934.65 | 11 |
| Sho arthrs srg capsulorraphy CPT 29806 | $14,214.20 | $25,844.00 | $1,459.00 – $14,934.65 | 12 |
| Sho arthrs srg compl synvct CPT 29821 | $7,091.15 | $12,893.00 | $903.70 – $6,734.39 | 12 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $4,807.00 | $8,740.00 | $826.01 – $6,734.39 | 12 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $7,091.15 | $12,893.00 | $893.70 – $6,734.39 | 12 |
| Sho arthrs srg prtl synvct CPT 29820 | $7,091.15 | $12,893.00 | $814.17 – $14,934.65 | 12 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $7,091.15 | $12,893.00 | $895.54 – $6,734.39 | 12 |
| Sho arthrs srg rpr slap les CPT 29807 | $14,214.20 | $25,844.00 | $1,459.00 – $14,934.65 | 12 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $7,091.15 | $12,893.00 | $904.67 – $6,734.39 | 12 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $61.28 – $131.14 | 9 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $53.41 – $114.30 | 9 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $50.31 – $107.66 | 9 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $42.41 – $90.76 | 9 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $76.99 – $164.76 | 9 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $130.40 – $279.06 | 9 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $76.99 – $164.76 | 9 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $72.28 – $154.68 | 9 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $100.56 – $215.20 | 9 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $114.74 – $245.54 | 9 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $50.31 – $107.66 | 9 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $61.28 – $131.14 | 9 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $17.72 – $17.72 | 1 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $61.28 – $131.14 | 9 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $44.00 – $94.16 | 9 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $105.25 – $225.24 | 9 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $197.99 – $423.70 | 9 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $824.75 – $1,764.96 | 10 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $64.41 – $137.84 | 9 |
| Shortening of hand tendon CPT 26479 | not published | not published | $991.00 – $6,734.39 | 12 |
| Shortening of thigh bone CPT 27465 | $2,847.35 | $5,177.00 | $1,894.25 – $14,934.65 | 9 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $2,034.79 – $11,495.55 | 3 |
| Shorten radius or ulna CPT 25390 | $13,206.60 | $24,012.00 | $1,173.62 – $14,934.65 | 12 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,459.00 – $14,934.65 | 12 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $441.57 – $944.96 | 10 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $7,091.15 | $12,893.00 | $1,624.42 – $14,934.65 | 12 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $493.10 – $1,055.23 | 10 |
| Shoulder harness HCPCS L5699 | not published | not published | $228.26 – $488.48 | 10 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $642.79 – $1,375.57 | 10 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,346.85 | $4,267.00 | $335.54 – $718.05 | 10 |
| Shoulder MRI (with contrast) CPT 73222 | $2,325.40 | $4,228.00 | $353.53 – $1,613.46 | 10 |
| Shoulder MRI (without contrast) CPT 73221 | $2,035.00 | $3,700.00 | $208.37 – $491.09 | 10 |
| Shoulder prosthesis removal CPT 23334 | $5,128.75 | $9,325.00 | $1,610.37 – $14,934.65 | 11 |
| Shoulder prosthesis removal CPT 23335 | $5,128.75 | $9,325.00 | $1,924.71 – $14,934.65 | 9 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $517.73 – $1,107.94 | 10 |
| Shoulder X-ray CPT 73030 | $488.40 | $888.00 | $37.33 – $179.11 | 11 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $94.08 – $201.33 | 10 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $54.07 – $115.71 | 10 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $67.04 – $143.47 | 10 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $254.10 | $462.00 | $85.26 – $215.17 | 11 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $26.15 | 10 |
| Sialography s&i CPT 70390 | $458.15 | $833.00 | $140.84 – $491.09 | 11 |
| Sialolithotomy 42330 CPT 42330 | $5,378.45 | $9,779.00 | $251.99 – $6,823.84 | 10 |
| Sickling rbc CPT 85660 | $117.15 | $213.00 | $4.00 – $11.79 | 11 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $109.08 – $1,914.03 | 12 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $173.15 – $1,914.03 | 12 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $177.47 – $2,462.91 | 12 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $100.87 – $1,914.03 | 12 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $242.15 – $3,359.00 | 11 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $159.31 – $2,462.91 | 12 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $232.59 – $12,495.04 | 11 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $298.77 – $5,712.83 | 11 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $181.53 – $2,462.91 | 12 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $187.25 – $1,914.03 | 12 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $257.31 – $2,462.91 | 12 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $142.26 – $1,914.03 | 12 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $143.55 | $261.00 | $27.76 – $121.42 | 10 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $118.23 – $2,462.91 | 12 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.28 – $0.44 | 2 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $871.10 – $1,864.15 | 10 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,102.85 – $23,760.10 | 8 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $219.87 – $1,579.00 | 11 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $163.32 – $229.21 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $37.33 – $215.17 | 10 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $302.33 – $646.99 | 10 |
| Single transfer toe-hand CPT 26553 | not published | not published | $4,386.82 – $14,934.65 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,675.75 | $4,865.00 | $168.70 – $445.05 | 10 |
| Sinus CT scan (with contrast) CPT 70487 | $2,263.80 | $4,116.00 | $148.47 – $445.05 | 10 |
| Sinus CT scan (without contrast) CPT 70486 | $2,123.00 | $3,860.00 | $100.55 – $265.85 | 10 |
| Sinus/juglr venogram s&i CPT 75860 | $4,526.50 | $8,230.00 | $104.86 – $6,498.69 | 11 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $7,158.25 | $13,015.00 | $510.59 – $6,823.84 | 12 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $12,038.95 | $21,889.00 | $896.05 – $12,184.12 | 12 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $9,455.60 | $17,192.00 | $777.67 – $12,184.12 | 12 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $296.87 – $635.30 | 10 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $129.31 – $276.72 | 10 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,932.43 – $109,068.23 | 11 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.30 – $4.39 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $91.03 – $188.21 | 11 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $294.78 – $630.83 | 10 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $314.05 | $571.00 | $21.58 – $35.46 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $21.58 – $21.58 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,594.00 – $7,293.65 | 12 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $13.14 – $14.04 | 2 |
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.