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 |
|---|---|---|---|---|
| Tl-201 thallium diag per mci HCPCS A9505 | $72.60 | $132.00 | $34.29 – $61.15 | 2 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $1,236.26 – $21,878.19 | 11 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,555.76 – $21,878.19 | 11 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,391.72 – $21,878.19 | 11 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,866.70 – $21,878.19 | 11 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,101.88 – $2,358.02 | 10 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $948.87 – $2,030.58 | 10 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,240.27 – $2,654.18 | 10 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,542.64 – $3,301.25 | 10 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $614.96 – $1,316.01 | 10 |
| Tlso corset front HCPCS L0970 | not published | not published | $167.07 – $357.53 | 10 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $254.02 – $543.60 | 10 |
| Tlso full corset HCPCS L0974 | not published | not published | $230.94 – $494.21 | 10 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $491.93 – $1,052.73 | 10 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $284.88 – $609.64 | 10 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $569.51 – $1,218.75 | 10 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $362.99 – $776.80 | 10 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $732.62 – $1,567.81 | 10 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,781.97 – $3,813.42 | 10 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,240.27 – $2,654.18 | 10 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,042.14 – $4,370.18 | 10 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,762.06 – $3,770.81 | 10 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $349.48 – $747.89 | 10 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $428.50 – $916.99 | 10 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $727.17 – $6,734.39 | 12 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $39.55 – $39.55 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.82 – $4.37 | 4 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $16.87 – $35.79 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | $393.25 | $715.00 | $11.00 – $34.52 | 11 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.41 – $10.55 | 11 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $8.63 – $12.11 | 4 |
| Toe joint transfer CPT 26556 | not published | not published | $4,386.82 – $14,934.65 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $11.33 – $59.10 | 10 |
| Tomosynthesis breast screen bilateral CPT 77063 | $83.60 | $152.00 | $20.88 – $83.90 | 10 |
| Tone decay hearing test CPT 92563 | $75.35 | $137.00 | $35.92 – $76.88 | 10 |
| Tongue and neck surgery CPT 41135 | not published | not published | $3,066.00 – $4,386.82 | 3 |
| Tongue base vol reduction CPT 41530 | not published | not published | $561.92 – $6,823.84 | 11 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $4,074.40 | $7,408.00 | $167.39 – $6,823.84 | 11 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tongue suspension CPT 41512 | not published | not published | $995.29 – $12,184.12 | 11 |
| Tongue to lip surgery CPT 41510 | not published | not published | $674.03 – $6,823.84 | 12 |
| Tonsillectomy (age 12+) CPT 42826 | $4,884.55 | $8,881.00 | $390.95 – $6,823.84 | 12 |
| Tonsillectomy (child under 12) CPT 42825 | $8,595.95 | $15,629.00 | $409.98 – $12,184.12 | 12 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.28 – $2.04 | 4 |
| Topotecan oral HCPCS J8705 | not published | not published | $125.33 – $244.40 | 11 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $40.89 – $79.74 | 10 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $173.12 – $370.48 | 10 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $188.63 – $403.67 | 10 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Total hip arthroplasty CPT 27132 | $7,153.30 | $13,006.00 | $2,532.13 – $26,424.41 | 9 |
| Total Hip Replacement CPT 27130 | $9,369.80 | $17,036.00 | $1,949.15 – $26,424.41 | 10 |
| Total hysterectomy CPT 58150 | not published | not published | $1,556.58 – $5,147.21 | 3 |
| Total Knee Replacement CPT 27447 | $15,464.90 | $28,118.00 | $1,946.36 – $26,424.41 | 10 |
| Total lung lavage CPT 32997 | not published | not published | $513.91 – $4,386.82 | 3 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Total tau CPT 84394 | $137.50 | $250.00 | $128.92 – $275.89 | 8 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $701.34 – $1,500.87 | 10 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $15,700.30 | $28,546.00 | $2,463.27 – $36,087.88 | 10 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $10,523.15 | $19,133.00 | $2,647.48 – $36,087.88 | 9 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $528.54 – $4,386.82 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $1,548.80 | $2,816.00 | $604.50 – $731.00 | 2 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tot estradiol response panel CPT 80415 | not published | not published | $46.00 – $119.60 | 11 |
| Toxoplasma antibody igg CPT 86777 | $68.75 | $125.00 | $14.39 – $30.79 | 11 |
| Toxoplasma antibody igm CPT 86778 | $75.35 | $137.00 | $14.41 – $30.84 | 11 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $577.67 – $1,373.56 | 10 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $277.20 – $659.12 | 10 |
| Tp53 gene trgt sequence alys CPT 81352 | $3,352.25 | $6,095.00 | $296.56 – $705.15 | 10 |
| Tpmt gene com vrnts CPT 81335 | $1,047.75 | $1,905.00 | $157.33 – $374.09 | 9 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $58.19 – $1,579.00 | 11 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $1,111.33 – $27,154.61 | 10 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $583.28 – $7,255.07 | 10 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $664.54 – $19,483.75 | 10 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $8,461.75 | $15,385.00 | $249.79 – $11,035.58 | 11 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $410.48 – $800.43 | 11 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $308.41 – $1,579.00 | 11 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $14.52 – $15.52 | 2 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $571.62 – $10,295.98 | 12 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $175.53 – $1,579.00 | 12 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $1.43 – $1.53 | 2 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $7,759.40 | $14,108.00 | $637.75 – $6,823.84 | 12 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $162.26 – $173.50 | 2 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $9.75 – $10.43 | 2 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $7.50 – $8.02 | 2 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $103.40 | $188.00 | $52.87 – $113.14 | 10 |
| Transabdom amnioinfus w/us CPT 59070 | $617.10 | $1,122.00 | $293.08 – $1,579.00 | 11 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Transcath biopsy CPT 37200 | $4,630.45 | $8,419.00 | $323.24 – $11,452.76 | 11 |
| Transcath closure of asd CPT 93580 | $14,011.80 | $25,476.00 | $1,455.07 – $37,729.94 | 10 |
| Transcath closure of vsd CPT 93581 | $12,962.95 | $23,569.00 | $1,973.83 – $37,729.94 | 10 |
| Transcatheter bx s&i CPT 75970 | $2,141.15 | $3,893.00 | $524.00 – $547.65 | 3 |
| Transcath mv repair addl prosthesis CPT 33419 | $5,611.65 | $10,203.00 | $604.50 – $632.15 | 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.