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 |
|---|---|---|---|---|
| Skin Biopsy CPT 11102 | $491.70 | $894.00 | $57.24 – $836.68 | 10 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $3,418.25 | $6,215.00 | $1,017.10 – $4,246.62 | 12 |
| Skin full graft add-on 15241 CPT 15241 | $1,450.90 | $2,638.00 | $161.98 – $1,459.00 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | $3,916.00 | $7,120.00 | $1,113.25 – $7,293.65 | 12 |
| Skin pedicle flap trunk CPT 15570 | $4,307.60 | $7,832.00 | $1,100.95 – $4,246.62 | 12 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $10,278.40 | $18,688.00 | $166.63 – $1,459.00 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $5.14 – $59.53 | 10 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,061.95 – $1,551.95 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $157.33 – $374.09 | 9 |
| Sleep study attended CPT 95807 | not published | not published | $358.89 – $928.55 | 10 |
| Sleep Study (Polysomnography) CPT 95810 | $4,859.25 | $8,835.00 | $730.16 – $1,780.43 | 10 |
| Sleep study unattended CPT 95806 | $784.85 | $1,427.00 | $73.72 – $444.41 | 10 |
| Sleeve fing rolyan med HCPCS L3933 | $165.20 | $300.37 | $239.91 – $513.41 | 10 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $12.13 | $22.05 | $16.14 – $17.26 | 2 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $72.14 – $154.38 | 10 |
| Sling suprapubic suburetheral HCPCS C1771 | $2,130.67 | $3,873.95 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $169.06 – $7,255.07 | 12 |
| Slitting of prepuce CPT 54001 | $4,483.05 | $8,151.00 | $214.71 – $4,302.40 | 12 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $48.68 – $48.68 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $131.51 – $131.51 | 1 |
| Slp pure tone screening CPT 92551 | not published | not published | $18.17 – $18.17 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $56.74 – $121.42 | 10 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $104.68 – $104.68 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | $29,867.75 | $54,305.00 | $3,159.80 – $30,488.89 | 10 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $36.04 | 11 |
| Small bowel endoscopy CPT 44360 | not published | not published | $216.99 – $3,949.47 | 12 |
| Small bowel endoscopy CPT 44364 | not published | not published | $308.00 – $3,949.47 | 12 |
| Small bowel endoscopy CPT 44366 | not published | not published | $361.46 – $3,949.47 | 12 |
| Small bowel endoscopy CPT 44369 | not published | not published | $370.17 – $3,949.47 | 12 |
| Small bowel endoscopy CPT 44376 | not published | not published | $427.89 – $3,949.47 | 12 |
| Small bowel endoscopy CPT 44378 | not published | not published | $579.69 – $3,949.47 | 12 |
| Small bowel endoscopy CPT 44382 | not published | not published | $111.66 – $1,866.75 | 12 |
| Small bowel endoscopy CPT 44384 | not published | not published | $230.89 – $3,949.47 | 11 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $288.95 – $3,949.47 | 12 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $274.99 – $3,949.47 | 12 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $239.12 – $3,949.47 | 12 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $451.18 – $3,949.47 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $86.58 – $1,866.75 | 12 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $128.10 – $3,949.47 | 11 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $402.31 – $12,495.04 | 12 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $184.25 | $335.00 | $4.00 – $11.53 | 11 |
| Smear gram stain CPT 87205 | $232.65 | $423.00 | $3.00 – $9.14 | 11 |
| Smear nasal eosinophil CPT 89190 | $105.05 | $191.00 | $3.00 – $12.39 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $304.15 | $553.00 | $5.99 – $15.00 | 11 |
| Smear wet mount CPT 87210 | $185.90 | $338.00 | $3.00 – $12.45 | 11 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $271.22 – $644.89 | 9 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $166.68 – $396.33 | 9 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $42.30 – $100.58 | 10 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $45.96 – $109.29 | 10 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,329.12 – $2,844.32 | 10 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $1,013.18 – $2,168.21 | 10 |
| Socket insert above knee HCPCS L5658 | not published | not published | $445.13 – $952.58 | 10 |
| Socket insert below knee HCPCS L5655 | not published | not published | $375.45 – $803.46 | 10 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $465.36 – $995.87 | 10 |
| Socket insert symes HCPCS L5654 | not published | not published | $482.61 – $1,032.79 | 10 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $747.37 – $1,599.37 | 10 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $896.90 – $1,919.37 | 10 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $47.94 – $102.59 | 10 |
| Sock wool above knee HCPCS L8430 | not published | not published | $27.95 – $59.81 | 10 |
| Sodium 24 hour urine CPT 84300 | $60.50 | $110.00 | $3.00 – $10.83 | 11 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.82 – $4.42 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.41 – $2.22 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.71 – $1.10 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.18 – $0.20 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.21 – $3.89 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $84.31 – $120.07 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $127.60 | $232.00 | $3.00 – $10.29 | 11 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.84 – $1.80 | 9 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $213.55 | 10 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $83.70 – $179.11 | 8 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,210.78 – $2,878.96 | 9 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,076.25 – $2,559.08 | 9 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,959.66 – $7,037.41 | 9 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $941.72 – $2,239.19 | 9 |
| Solid skin barrier HCPCS A4362 | not published | not published | $6.18 – $6.62 | 2 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $15.62 – $16.70 | 2 |
| Somatosensory testing CPT 95927 | not published | not published | $207.67 – $544.95 | 10 |
| Somatropin injection HCPCS J2941 | not published | not published | $55.77 – $249.35 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,690.60 – $6,397.64 | 9 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $807.18 – $1,919.30 | 9 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.97 – $25.97 | 1 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $197.33 – $422.29 | 10 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $16.29 – $18.81 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $251.65 – $5,147.21 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $276.68 – $5,147.21 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | $5,914.15 | $10,753.00 | $175.70 – $604.50 | 2 |
| Special casting material HCPCS A4590 | not published | not published | $37.38 – $37.38 | 1 |
| Special physics consult CPT 77370 | $1,240.80 | $2,256.00 | $129.27 – $276.64 | 11 |
| Special pump services CPT 99190 | not published | not published | $642.22 – $642.22 | 1 |
| Special pump services CPT 99191 | not published | not published | $449.78 – $449.78 | 1 |
| Special pump services CPT 99192 | not published | not published | $321.40 – $321.40 | 1 |
| Special radiation dosimetry CPT 77331 | $726.55 | $1,321.00 | $27.76 – $276.64 | 11 |
| Special radiation treatment CPT 77470 | $2,476.10 | $4,502.00 | $51.67 – $1,156.94 | 11 |
| Special supplies phys/qhp CPT 99070 | $314.52 | $571.86 | not published | 0 |
| Special teletx port plan CPT 77321 | $1,235.85 | $2,247.00 | $64.17 – $770.65 | 11 |
| Specific gravity body fluid CPT 84315 | $15.40 | $28.00 | $3.15 – $7.02 | 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.