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 |
|---|---|---|---|---|
| Specimen fat stain CPT 89125 | not published | not published | $3.00 – $12.58 | 11 |
| Speech audiometry complete CPT 92556 | $105.60 | $192.00 | $56.74 – $121.42 | 10 |
| Speech evaluation complex CPT 70371 | $751.30 | $1,366.00 | $98.19 – $491.09 | 11 |
| Speech recep thresh CPT 92555 | $105.60 | $192.00 | $41.65 – $121.42 | 10 |
| Sperm antibody test CPT 89325 | not published | not published | $8.00 – $22.83 | 11 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $41.92 | 11 |
| Sperm identification CPT 89257 | not published | not published | $39.36 – $107.25 | 8 |
| Sperm isolation complex CPT 89261 | not published | not published | $39.36 – $107.25 | 9 |
| Sperm isolation simple CPT 89260 | not published | not published | $39.36 – $107.25 | 9 |
| Sperm washing 58323 CPT 58323 | not published | not published | $18.43 – $1,579.00 | 10 |
| Sphenoid sinus surgery CPT 31051 | $8,595.95 | $15,629.00 | $1,043.38 – $12,184.12 | 12 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,140.55 – $5,712.83 | 12 |
| Spinal bone allograftstructural 20931 CPT 20931 | $7,556.45 | $13,739.00 | $166.27 – $604.50 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | $5,914.15 | $10,753.00 | $187.18 – $5,147.21 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,239.15 | $2,253.00 | $130.18 – $1,579.00 | 11 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $4,386.82 – $26,424.41 | 11 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $207.67 – $544.95 | 10 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $764.94 | $1,390.80 | $41.65 – $768.03 | 10 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $123.75 – $273.81 | 10 |
| Spleen imaging CPT 78185 | not published | not published | $199.66 – $822.80 | 11 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $305.92 | $556.21 | $444.32 – $950.84 | 10 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $41.58 | $75.60 | $60.42 – $129.30 | 10 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $16.77 – $16.77 | 1 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $97.81 – $209.31 | 10 |
| Splint finger frog med HCPCS L3927 | $34.58 | $62.87 | $39.34 – $84.19 | 10 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $3.95 – $4.22 | 2 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $67.35 | $122.45 | $97.81 – $209.31 | 10 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $6,670.40 | $12,128.00 | $1,045.88 – $7,293.65 | 12 |
| Split blood or products CPT 86985 | $482.35 | $877.00 | $15.00 – $350.65 | 11 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $92.77 – $198.53 | 10 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $3,916.00 | $7,120.00 | $197.89 – $1,459.00 | 3 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $22.78 – $22.78 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $146.00 – $679.83 | 10 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $824.65 – $1,764.75 | 10 |
| Sputum specimen collection CPT 89220 | $110.00 | $200.00 | $13.00 – $350.65 | 11 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $8,873.16 | 10 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $2,099.99 – $11,495.55 | 4 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,550.29 – $11,495.55 | 4 |
| Srs cran les complex addl CPT 61799 | not published | not published | $456.84 – $4,386.82 | 4 |
| Srs cran les simple addl CPT 61797 | not published | not published | $330.59 – $4,386.82 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $157.86 – $375.36 | 10 |
| Srs linear based CPT 77372 | $67,460.80 | $122,656.00 | $1,369.19 – $15,159.15 | 10 |
| Srs multisource CPT 77371 | not published | not published | $1,602.51 – $15,159.15 | 10 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,713.64 – $11,495.55 | 4 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $379.71 – $4,386.82 | 4 |
| Staggered spondaic word test CPT 92572 | not published | not published | $76.62 – $273.81 | 10 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $4,386.82 – $4,386.82 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $351.80 – $752.85 | 10 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $314.60 | $572.00 | $104.58 – $223.80 | 10 |
| Stance phase only HCPCS L5858 | not published | not published | $23,006.91 – $49,234.79 | 10 |
| Standard control cable extra HCPCS L6655 | not published | not published | $113.34 – $242.55 | 10 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $75.09 | 10 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $207.40 – $443.84 | 10 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $99.06 – $105.32 | 2 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $99.06 – $105.32 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $337.15 | $613.00 | $97.79 – $209.27 | 10 |
| Stem cells total count CPT 86367 | not published | not published | $47.43 – $166.45 | 10 |
| Stenger test pure tone CPT 92565 | $105.60 | $192.00 | $30.14 – $121.42 | 10 |
| Stenger test speech CPT 92577 | $393.25 | $715.00 | $31.59 – $928.55 | 10 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $10,701.35 | $19,457.00 | $1,068.84 – $36,311.38 | 4 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $7,340.44 | $13,346.26 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $279.74 | $508.61 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $11,162.49 | $20,295.43 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $12,908.50 | $23,470.00 | $735.07 – $20,413.03 | 4 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $5,378.45 | $9,779.00 | $315.98 – $11,495.55 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $9,582.10 | $17,422.00 | $1,033.08 – $32,322.10 | 4 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $79.02 – $99.42 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $582.00 – $699.44 | 3 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.23 – $0.25 | 2 |
| Sterile needle HCPCS A4215 | not published | not published | $0.18 – $0.18 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.80 – $0.85 | 2 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $5.67 – $6.06 | 2 |
| Sternal debridement CPT 21627 | not published | not published | $828.79 – $6,734.39 | 9 |
| Sternal pad HCPCS L1050 | not published | not published | $123.34 – $263.95 | 10 |
| St evaluate speech sound production CPT 92522 | $314.60 | $572.00 | $106.63 – $228.19 | 10 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $345.95 | $629.00 | $215.91 – $462.05 | 10 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $258.50 | $470.00 | $86.21 – $184.49 | 10 |
| St evaluation swallow function CPT 92610 | $267.30 | $486.00 | $56.21 – $120.29 | 10 |
| Stimulants synthetic CPT 80371 | not published | not published | $22.23 – $35.46 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $875.49 – $4,019.07 | 12 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $24.95 – $53.39 | 10 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $1.35 – $1.45 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $39.36 – $350.65 | 9 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $39.36 – $350.65 | 9 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $39.36 – $350.65 | 8 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $39.36 – $350.65 | 9 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $730.98 – $4,386.82 | 2 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $198.72 – $425.26 | 10 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $18.99 – $20.19 | 2 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $6.92 – $7.39 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $286.00 | $520.00 | $26.59 – $334.46 | 10 |
| Strapping of chest CPT 29200 | $357.50 | $650.00 | $28.09 – $334.46 | 10 |
| Strapping of elbow or wrist 29260 CPT 29260 | $400.95 | $729.00 | $28.99 – $121.42 | 10 |
| Strapping of hand or finger CPT 29280 | $400.95 | $729.00 | $30.83 – $121.42 | 10 |
| Strapping of hip CPT 29520 | $314.05 | $571.00 | $28.09 – $273.84 | 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.