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 |
|---|---|---|---|---|
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $9.61 – $18.63 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $35.92 – $76.88 | 10 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.02 – $14.98 | 11 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $78.10 | $142.00 | $3.00 – $9.42 | 11 |
| System cardiomems hosp electronics HCPCS C2624 | $35,761.69 | $65,021.25 | not published | 0 |
| System pacing micra av HCPCS C1786 | $21,541.31 | $39,166.02 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $12,406.85 | $22,557.91 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $523.95 | $952.63 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $156.20 | $284.00 | $12.00 – $36.25 | 11 |
| T3 (triiodothyronine) total CPT 84480 | $25.85 | $47.00 | $10.00 – $30.35 | 11 |
| T4 (thyroxine) free CPT 84439 | $124.30 | $226.00 | $6.00 – $19.30 | 11 |
| T4 (thyroxine) total CPT 84436 | $26.40 | $48.00 | $5.00 – $14.70 | 11 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.65 – $0.91 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.06 – $2.89 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.22 – $0.39 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $268.18 – $522.94 | 11 |
| Tacrolimus therapeutic drug level CPT 80197 | $467.50 | $850.00 | $10.00 – $29.38 | 11 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.43 – $28.14 | 11 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $77.34 – $150.81 | 11 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $76.72 – $149.61 | 10 |
| Talymed HCPCS Q4127 | not published | not published | $78.08 – $233.39 | 11 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $0.48 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $119.18 – $604.50 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $97.78 – $604.50 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.72 – $0.79 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $12,575.20 | $22,864.00 | $583.56 – $1,625.39 | 10 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,627.64 – $6,247.94 | 10 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $538.12 – $1,279.53 | 10 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,612.42 – $3,144.22 | 10 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,122.29 – $2,951.70 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $197.21 – $1,521.15 | 10 |
| Tavr perq femoral CPT 33361 | $11,361.35 | $20,657.00 | $1,189.00 – $4,386.82 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.24 – $0.72 | 11 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $123.30 – $293.18 | 9 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $59.03 – $59.03 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $15.03 – $15.03 | 1 |
| Tbs techl calculation only CPT 77091 | $128.15 | $233.00 | $40.21 – $179.11 | 9 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $3.79 – $179.11 | 9 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $78.50 – $214.00 | 10 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $380.60 | $692.00 | $61.98 – $132.64 | 10 |
| Tc-99m apcitide diag HCPCS A9504 | $1,044.45 | $1,899.00 | $821.25 – $821.25 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | $1,476.75 | $2,685.00 | $2,028.49 – $2,028.49 | 1 |
| Tc-99m bicisate HCPCS A9557 | $2,162.05 | $3,931.00 | $775.52 – $6,114.73 | 10 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $2,299.50 – $2,299.50 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $131.07 – $131.07 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,371.05 | $4,311.00 | $934.13 – $2,971.59 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $1,282.05 | $2,331.00 | $914.67 – $2,971.59 | 2 |
| Tc-99m fanolesomab diag HCPCS A9566 | $2,066.90 | $3,758.00 | not published | 0 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $703.20 | 9 |
| Tc-99m labeled rbc HCPCS A9560 | $227.70 | $414.00 | $174.89 – $174.89 | 1 |
| Tc-99m maa HCPCS A9540 | $194.15 | $353.00 | $31.50 – $56.17 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $304.70 | $554.00 | $59.33 – $103.58 | 2 |
| Tc-99m medronate HCPCS A9503 | $121.00 | $220.00 | $13.65 – $24.34 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $623.70 | $1,134.00 | $1,450.72 – $1,450.72 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $6.84 – $6.84 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $140.80 | $256.00 | $82.39 – $82.39 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $126.50 | $230.00 | $61.76 – $61.76 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $128.70 | $234.00 | $35.07 – $35.07 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $119.90 | $218.00 | $1.77 – $2.92 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $250.80 | $456.00 | $67.25 – $119.94 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $531.85 | $967.00 | $119.65 – $740.08 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $629.39 – $1,412.25 | 10 |
| Tc-99m sulfur colloid HCPCS A9541 | $564.30 | $1,026.00 | $280.74 – $500.63 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $531.85 | $967.00 | $89.53 – $159.67 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $785.95 | $1,429.00 | $694.65 – $1,238.77 | 2 |
| Tca peel dermal 15789 CPT 15789 | $2,749.45 | $4,999.00 | $604.50 – $1,521.15 | 9 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $100.55 – $494.85 | 10 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $100.55 – $387.02 | 10 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $336.27 – $336.27 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $120.66 – $1,579.00 | 11 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $333.85 | $607.00 | $46.98 – $100.54 | 11 |
| T cells absolute cd 4 count CPT 86361 | $421.30 | $766.00 | $19.00 – $57.31 | 11 |
| T cells total count CPT 86359 | $267.85 | $487.00 | $37.73 – $80.74 | 11 |
| Tcranial magn stim tx deli CPT 90868 | $613.80 | $1,116.00 | $207.67 – $482.67 | 10 |
| Tcranial magn stim tx plan CPT 90867 | $152.91 | $278.02 | $207.67 – $482.67 | 10 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $207.67 – $482.67 | 10 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $707.29 – $4,386.82 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $53.89 – $53.89 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $82.83 – $82.83 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $61.63 – $61.63 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $228.01 – $444.61 | 11 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $753.95 – $1,613.46 | 9 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $753.95 – $1,613.46 | 9 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $75.17 – $160.86 | 10 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.48 – $14.59 | 11 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $43.61 – $43.61 | 1 |
| Telethx isodose plan cplx CPT 77307 | $3,969.90 | $7,218.00 | $195.82 – $770.65 | 10 |
| Telethx isodose plan simple CPT 77306 | $3,100.90 | $5,638.00 | $108.21 – $770.65 | 10 |
| Temozolomide HCPCS J8700 | not published | not published | $0.43 – $0.61 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.41 – $20.30 | 11 |
| Temperature gradient studies CPT 93740 | not published | not published | $2.09 – $281.63 | 10 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $3,181.00 – $4,386.82 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $32.68 – $63.73 | 11 |
| Tendon lengthening CPT 26476 | not published | not published | $967.33 – $6,734.39 | 12 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $7,105.45 | $12,919.00 | $887.74 – $6,734.39 | 12 |
| Tendon shortening CPT 26477 | not published | not published | $945.57 – $6,734.39 | 12 |
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.