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 |
|---|---|---|---|---|
| Warde immunofixation electrophoresis urine CPT 86335 | $215.60 | $392.00 | $29.35 – $62.81 | 10 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $311.30 | $566.00 | $8.00 – $24.67 | 11 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $2,087.25 | $3,795.00 | $257.45 – $550.94 | 11 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $338.25 | $615.00 | $14.00 – $50.44 | 11 |
| Warde lipoprotein (a) CPT 83695 | $218.35 | $397.00 | $14.32 – $30.64 | 10 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $343.75 | $625.00 | $42.69 – $99.10 | 10 |
| Warde mitochondrial antibody each CPT 86381 | $70.40 | $128.00 | $22.91 – $54.46 | 10 |
| Warde neutralization rabies CPT 86382 | $89.65 | $163.00 | $12.00 – $36.19 | 11 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $276.65 | $503.00 | $13.25 – $28.36 | 10 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $296.45 | $539.00 | $20.67 – $49.16 | 10 |
| Warde protein c antigen CPT 85302 | $125.40 | $228.00 | $9.00 – $25.70 | 11 |
| Warde sex hormone binding globulin CPT 84270 | $190.85 | $347.00 | $21.73 – $46.50 | 11 |
| Warde somatomedin CPT 84305 | $230.45 | $419.00 | $15.00 – $45.50 | 11 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $45.10 | $82.00 | $4.00 – $11.77 | 11 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $176.55 | $321.00 | $11.00 – $33.73 | 11 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $511.50 | $930.00 | $36.00 – $108.84 | 11 |
| Warde topiramate therapeutic drug level CPT 80201 | $249.15 | $453.00 | $9.00 – $25.51 | 11 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $1,048.85 | $1,907.00 | $19.00 – $55.79 | 11 |
| Warde viscosity CPT 85810 | $86.90 | $158.00 | $8.00 – $24.97 | 11 |
| Warde vitamin a CPT 84590 | $84.70 | $154.00 | $8.00 – $24.85 | 11 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $139.70 | $254.00 | $15.00 – $45.43 | 11 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $107.80 | $196.00 | $20.00 – $60.13 | 11 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $66.00 | $120.00 | $7.00 – $21.16 | 11 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $205.15 | $373.00 | $27.00 – $82.39 | 11 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $81.95 | $149.00 | $10.00 – $30.35 | 11 |
| Warde zinc CPT 84630 | $78.65 | $143.00 | $8.00 – $24.37 | 11 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $152.88 – $176.83 | 2 |
| Wash harvest stem cells CPT 38209 | not published | not published | $18.10 – $1,579.00 | 11 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.56 – $0.59 | 2 |
| Wbc automated CPT 85048 | $56.10 | $102.00 | $2.54 – $5.44 | 11 |
| Wcd device interrogate CPT 93292 | not published | not published | $35.89 – $76.81 | 10 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $1,288.52 – $4,386.82 | 3 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $1,094.74 – $15,262.36 | 10 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $233.99 – $4,386.82 | 3 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $233.51 – $4,386.82 | 3 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Wedging of cast CPT 29740 | not published | not published | $104.32 – $575.66 | 10 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $116.55 – $575.66 | 10 |
| Western blot test CPT 84181 | not published | not published | $17.03 – $36.44 | 11 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $5.36 – $39.68 | 10 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $3,292.96 – $7,046.93 | 10 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $230.98 – $494.30 | 10 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $351.66 | $639.39 | $510.77 – $1,093.05 | 10 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $61.33 – $406.26 | 10 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $265.19 – $567.51 | 9 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $768.90 | $1,398.00 | $151.58 – $324.38 | 9 |
| Whole body photography CPT 96904 | not published | not published | $88.86 – $98.68 | 2 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,158.30 – $2,754.18 | 10 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $842.40 – $2,003.04 | 10 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $597.72 – $1,279.12 | 10 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $597.72 – $1,279.12 | 10 |
| Wilate injection HCPCS J7183 | not published | not published | $1.33 – $2.59 | 11 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.54 – $0.54 | 1 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $1,385.45 | $2,519.00 | $135.46 – $991.00 | 3 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $67.57 – $144.60 | 9 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $22.65 – $604.50 | 3 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $119.69 – $1,283.04 | 10 |
| Wound pouch each HCPCS A6154 | not published | not published | $30.14 – $32.23 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $354.75 | $645.00 | $32.34 – $836.68 | 10 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $673.20 | $1,224.00 | $37.78 – $836.68 | 10 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $293.70 | $534.00 | $37.68 – $412.94 | 10 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $539.00 | $980.00 | $41.33 – $836.68 | 10 |
| Wrist arthroscopy CPT 29840 | $4,608.45 | $8,379.00 | $688.75 – $6,734.39 | 12 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $744.25 – $6,734.39 | 12 |
| Wrist arthroscopy/surgery CPT 29844 | $4,534.75 | $8,245.00 | $762.78 – $6,734.39 | 12 |
| Wrist arthroscopy/surgery CPT 29845 | $4,534.75 | $8,245.00 | $895.61 – $6,734.39 | 12 |
| Wrist arthroscopy/surgery CPT 29846 | $4,534.75 | $8,245.00 | $798.78 – $6,734.39 | 12 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $831.99 – $14,934.65 | 12 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,011.74 – $4,305.12 | 10 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,865.69 – $3,992.58 | 10 |
| Wrist endoscopy/surgery CPT 29848 | $4,534.75 | $8,245.00 | $783.69 – $7,185.00 | 12 |
| Wrist X-ray CPT 73110 | $342.10 | $622.00 | $47.40 – $179.11 | 11 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,817.16 – $6,028.72 | 10 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,344.73 – $8,507.36 | 11 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,116.29 – $6,535.00 | 12 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $1,023.00 – $10,952.24 | 11 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,083.66 – $8,507.36 | 11 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $21.99 – $21.99 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $1,282.86 – $10,952.24 | 11 |
| Xe133 xenon 10mci HCPCS A9558 | $110.55 | $201.00 | $267.86 – $433.26 | 2 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $6,285.40 | $11,428.00 | $943.25 – $4,246.62 | 12 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $5,752.45 | $10,459.00 | $855.43 – $4,246.62 | 12 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $822.60 – $1,955.96 | 10 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $822.60 – $1,955.96 | 9 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $9.94 – $59.53 | 10 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $555.82 – $604.50 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $307.89 – $4,386.82 | 3 |
| X-ray abdomen 1 view CPT 74018 | $321.75 | $585.00 | $31.11 – $179.11 | 10 |
| X-ray abdomen 2 views CPT 74019 | $521.95 | $949.00 | $37.33 – $215.17 | 10 |
| X-ray abdomen >=3 views CPT 74021 | not published | not published | $43.56 – $215.17 | 10 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $780.45 | $1,419.00 | $50.28 – $215.17 | 11 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $282.70 | $514.00 | $28.71 – $179.11 | 11 |
| X-ray ankle 2 views (both sides) CPT 73600 | $269.50 | $490.00 | $35.41 – $179.11 | 11 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $788.15 | $1,433.00 | $151.39 – $718.05 | 11 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $26.79 | 11 |
| X-ray bone age studies CPT 77072 | $218.90 | $398.00 | $24.39 – $215.17 | 10 |
| X-ray bone length studies CPT 77073 | $248.60 | $452.00 | $46.43 – $215.17 | 10 |
| X-ray bone survey complete CPT 77075 | $904.75 | $1,645.00 | $100.55 – $215.17 | 10 |
| X-ray bone survey infant CPT 77076 | $308.00 | $560.00 | $100.55 – $215.17 | 10 |
| X-ray cervical spine 2-3 views CPT 72040 | $494.45 | $899.00 | $41.65 – $179.11 | 11 |
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.