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 |
|---|---|---|---|---|
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $2,916.00 – $6,933.60 | 9 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Troponin quantitative CPT 84484 | $180.40 | $328.00 | $7.00 – $26.69 | 11 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $528.97 – $1,132.00 | 10 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $581.82 – $7,255.07 | 11 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $105.82 – $256.13 | 10 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $75.29 – $161.12 | 10 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $80.58 – $172.44 | 10 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $163.05 – $348.93 | 10 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $103.28 – $221.02 | 10 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $753.95 – $1,613.46 | 9 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,435.95 | $4,429.00 | $753.95 – $1,613.46 | 9 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $753.95 – $1,613.46 | 9 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $753.95 – $1,613.46 | 9 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $569.50 – $12,442.83 | 12 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $23.70 – $25.34 | 2 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $98.60 – $105.43 | 2 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | $5.70 | $10.37 | $11.69 – $12.50 | 2 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $246.10 | $447.46 | $99.50 – $106.40 | 2 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.13 – $0.13 | 1 |
| Tubular dressing HCPCS A6457 | not published | not published | $2.39 – $2.55 | 2 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $109.29 – $1,579.00 | 11 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,764.34 – $15,262.36 | 10 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,639.05 – $5,147.21 | 3 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $645.85 – $1,382.12 | 10 |
| Tx atrial fib pulm vein isol CPT 93656 | $12,802.90 | $23,278.00 | $1,410.33 – $53,796.61 | 10 |
| Tx closed distal humerus fx CPT 24999 | $1,107.70 | $2,014.00 | $237.24 – $731.00 | 10 |
| Tx closed hip disl traumatic without anes CPT 27250 | $343.75 | $625.00 | $237.24 – $1,579.00 | 12 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $10,893.85 | $19,807.00 | $889.78 – $6,734.39 | 12 |
| Tx closed tib shaft fx without manip CPT 27750 | $251.90 | $458.00 | $237.24 – $1,579.00 | 12 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $169.00 – $1,521.15 | 9 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $110.05 – $1,521.15 | 9 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Tx l/r atrial fib addl CPT 93657 | $7,521.80 | $13,676.00 | $456.37 – $604.50 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $11,171.05 | $20,311.00 | $1,132.24 – $6,734.39 | 12 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $14,387.45 | $26,159.00 | $771.42 – $6,734.39 | 12 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $11,171.05 | $20,311.00 | $837.99 – $6,734.39 | 12 |
| Tx open nsl fx uncomp CPT 21325 | $5,921.30 | $10,766.00 | $666.51 – $6,823.84 | 12 |
| Tx open nsl sptl fx CPT 21336 | $5,656.75 | $10,285.00 | $957.04 – $6,734.39 | 12 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $14,383.05 | $26,151.00 | $910.60 – $6,734.39 | 12 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $706.31 – $4,386.82 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $433.40 | $788.00 | $237.24 – $507.69 | 10 |
| Tympanic membrane repair CPT 69610 | $5,621.00 | $10,220.00 | $438.91 – $3,193.45 | 10 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $824.78 – $6,823.84 | 12 |
| Tympanometry & reflex thresh CPT 92550 | $105.60 | $192.00 | $33.16 – $444.41 | 10 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $200.88 – $1,579.00 | 11 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $12,585.10 | $22,882.00 | $1,933.00 – $12,184.12 | 12 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $12,585.10 | $22,882.00 | $1,917.19 – $12,184.12 | 12 |
| Tyms gene com variants CPT 81346 | not published | not published | $157.33 – $374.09 | 9 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $112.00 – $175.21 | 2 |
| U2af1 gene common variants CPT 81357 | not published | not published | $173.93 – $413.56 | 10 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.00 – $8.60 | 11 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $72.24 – $140.87 | 11 |
| Ue triple control harness HCPCS L6677 | not published | not published | $367.25 – $785.92 | 10 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $210.60 – $500.76 | 9 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $384.45 | $699.00 | $100.55 – $215.17 | 10 |
| Ultrasound bone density measure CPT 76977 | $83.60 | $152.00 | $6.67 – $215.17 | 11 |
| Ultrasound breast complete CPT 76641 | $566.50 | $1,030.00 | $98.19 – $215.17 | 10 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $566.50 | $1,030.00 | $76.15 – $179.11 | 10 |
| Ultrasound chest CPT 76604 | $477.95 | $869.00 | $43.56 – $215.17 | 11 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $494.45 | $899.00 | $30.63 – $215.17 | 11 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $25.84 – $215.17 | 11 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $53.15 – $53.15 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $100.55 – $215.17 | 10 |
| Ultrasound encephalogram CPT 76506 | $603.35 | $1,097.00 | $100.55 – $215.17 | 11 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $82.00 – $82.00 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,467.40 | $2,668.00 | $100.55 – $215.17 | 10 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $733.15 | $1,333.00 | $71.32 – $215.17 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | $671.00 | $1,220.00 | $35.41 – $60.82 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,063.15 | $1,933.00 | $40.68 – $94.54 | 3 |
| Ultrasound guide intraoperative CPT 76998 | $963.60 | $1,752.00 | $70.79 – $245.87 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | $804.65 | $1,463.00 | $86.36 – $203.33 | 3 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $83.70 – $179.11 | 11 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $83.70 – $179.11 | 11 |
| Ultrasound joint complete left CPT 76881 | $719.40 | $1,308.00 | $15.77 – $215.17 | 10 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $547.80 | $996.00 | $44.53 – $215.17 | 10 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $20.56 – $215.17 | 10 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $1,035.10 | $1,882.00 | $59.38 – $138.46 | 3 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $558.80 | $1,016.00 | $30.19 – $96.30 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $126.87 – $491.09 | 11 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $730.95 | $1,329.00 | $82.00 – $215.17 | 11 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $558.80 | $1,016.00 | $72.80 – $215.17 | 11 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $751.85 | $1,367.00 | $82.39 – $215.17 | 11 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $100.55 – $243.35 | 11 |
| Ultrasound retroperitoneal limited CPT 76775 | $572.55 | $1,041.00 | $46.93 – $215.17 | 11 |
| Ultrasound scrotum and contents CPT 76870 | $843.15 | $1,533.00 | $100.55 – $215.17 | 11 |
| Ultrasound spinal canal and contents CPT 76800 | $552.75 | $1,005.00 | $100.55 – $215.17 | 11 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $127.00 – $301.54 | 3 |
| Ultrasound transvaginal non obstetric CPT 76830 | $751.85 | $1,367.00 | $100.55 – $215.17 | 11 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $209.32 – $718.05 | 10 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $148.04 – $148.04 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.70 – $16.48 | 10 |
| Umbilical artery cath newborn 36660 CPT 36660 | $177.10 | $322.00 | $104.10 – $4,386.82 | 3 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $293.08 – $1,579.00 | 11 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $604.50 – $1,459.00 | 3 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $14,823.51 – $31,722.31 | 10 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $27.82 – $59.53 | 9 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $27.82 – $59.53 | 9 |
| Unlisted chemotherapy px CPT 96549 | $50.05 | $91.00 | $0.48 – $96.38 | 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.