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 |
|---|---|---|---|---|
| Tendon transfer with graft CPT 26492 | not published | not published | $1,400.03 – $6,734.39 | 12 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $185.20 – $423.97 | 11 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,620.75 – $4,099.60 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | $18,667.00 | $33,940.00 | $914.79 – $14,934.65 | 12 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $7,276.50 | $13,230.00 | $903.38 – $6,734.39 | 12 |
| Tenolysis triceps CPT 24332 | $12,111.55 | $22,021.00 | $941.88 – $6,734.39 | 11 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,190.50 – $14,934.65 | 12 |
| Tenosynovectomy radic 26145 CPT 26145 | $7,145.60 | $12,992.00 | $790.98 – $3,309.55 | 12 |
| Tenotomy hip flexor open CPT 27005 | $5,475.80 | $9,956.00 | $1,099.13 – $6,734.39 | 9 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $10,371.35 | $18,857.00 | $450.90 – $6,734.39 | 12 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $10,371.35 | $18,857.00 | $370.01 – $3,309.55 | 10 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,954.38 – $8,462.37 | 10 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $18.77 – $19.94 | 2 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $1.61 – $12.80 | 4 |
| Teriparatide injection HCPCS J3110 | not published | not published | $52.85 – $86.05 | 2 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $5,060.90 – $10,830.33 | 10 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,908.27 – $8,363.70 | 10 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,728.38 – $3,698.73 | 10 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,178.02 – $2,520.96 | 10 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,752.80 – $3,750.99 | 10 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $492.59 – $1,054.14 | 10 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $520.97 – $1,114.88 | 10 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $404.88 – $866.44 | 10 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $304.48 – $651.59 | 10 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $949.50 – $2,031.93 | 10 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $166.68 – $396.33 | 10 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $12.86 | 11 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.00 – $12.45 | 11 |
| Test for urine cystines CPT 82615 | not published | not published | $6.00 – $20.44 | 11 |
| Testicular imaging w/vasc flow CPT 78761 | $548.90 | $998.00 | $235.12 – $822.80 | 11 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $172.68 – $172.68 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $46.00 – $110.51 | 10 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.15 – $4.19 | 11 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $22.95 – $121.42 | 9 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $370.84 – $793.60 | 10 |
| Test socket above knee HCPCS L5624 | not published | not published | $593.44 – $1,269.96 | 10 |
| Test socket below knee HCPCS L5620 | not published | not published | $453.81 – $971.15 | 10 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $703.32 – $1,505.10 | 10 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $651.69 – $1,394.62 | 10 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $591.76 – $1,266.37 | 10 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $426.74 – $913.22 | 10 |
| Test socket symes HCPCS L5618 | not published | not published | $369.85 – $791.48 | 10 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $378.71 – $810.44 | 10 |
| Test stress cardiovascular tracing only CPT 93017 | $912.45 | $1,659.00 | $54.07 – $560.52 | 10 |
| Test urine for lactose CPT 83633 | not published | not published | $6.00 – $24.08 | 11 |
| Test urine for porphyrins CPT 84119 | not published | not published | $10.00 – $28.59 | 11 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.00 – $9.57 | 11 |
| Tetanus ig im CPT 90389 | not published | not published | $661.77 – $1,066.26 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $595.02 – $1,160.28 | 11 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.92 – $34.94 | 11 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $123.30 – $293.18 | 9 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $683.58 – $1,625.39 | 10 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,627.64 – $6,247.94 | 10 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $538.12 – $1,279.53 | 10 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $39.36 – $350.65 | 8 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $39.36 – $350.65 | 8 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $39.36 – $350.65 | 8 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $39.36 – $107.25 | 8 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $43.28 – $1,579.00 | 11 |
| Theophylline therapeutic drug level CPT 80198 | $255.20 | $464.00 | $10.00 – $30.26 | 11 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $16.24 – $59.53 | 10 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $125.49 – $1,330.59 | 9 |
| Therapy activation ipnss CPT 93150 | not published | not published | $65.11 – $195.67 | 10 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $88.55 | $161.00 | $25.42 – $54.40 | 10 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $75.76 | $137.75 | $21.26 – $45.50 | 10 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $192.96 – $412.94 | 10 |
| Ther fx nasal inf turbinate CPT 30930 | $6,391.55 | $11,621.00 | $178.92 – $6,823.84 | 12 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $123.00 – $361.01 | 11 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $27.79 – $437.78 | 10 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $257.48 – $1,111.00 | 3 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $165.96 – $306.00 | 3 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $108.39 – $133.00 | 3 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $2.01 – $4.04 | 4 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $7.82 – $7.82 | 1 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $330.04 – $706.29 | 10 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $516.79 – $1,105.93 | 10 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $272.20 – $582.51 | 10 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $422.73 – $904.64 | 10 |
| Thiotepa injection HCPCS J9340 | not published | not published | $279.36 – $412.61 | 4 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $239.76 – $513.09 | 10 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $261.36 – $559.31 | 10 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,398.00 | $4,360.00 | $165.73 – $1,579.00 | 11 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $258.68 – $553.58 | 10 |
| Thoracic duct procedure CPT 38380 | not published | not published | $879.67 – $4,386.82 | 3 |
| Thoracic duct procedure CPT 38381 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thoracic duct procedure CPT 38382 | not published | not published | $1,030.88 – $4,386.82 | 3 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $4,795.29 – $10,261.92 | 10 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $321.34 – $4,386.82 | 3 |
| Thoracic pad HCPCS L1060 | not published | not published | $119.70 – $256.16 | 10 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $462.30 – $12,442.83 | 10 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $322.21 – $4,386.82 | 3 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,645.46 – $19,664.12 | 3 |
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.