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 |
|---|---|---|---|---|
| X-ray cervical spine 4-5 views CPT 72050 | $534.60 | $972.00 | $58.90 – $215.17 | 11 |
| X-ray cervical spine >= 6 views CPT 72052 | $748.55 | $1,361.00 | $69.44 – $215.17 | 11 |
| X-ray clavicle complete (both sides) CPT 73000 | $310.75 | $565.00 | $35.41 – $179.11 | 11 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $893.20 | $1,624.00 | $123.00 – $361.01 | 11 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,263.35 | $2,297.00 | $168.70 – $361.01 | 11 |
| X-ray consultation CPT 76140 | not published | not published | $60.00 – $60.00 | 1 |
| X-ray elbow 2 views (both sides) CPT 73070 | $288.75 | $525.00 | $30.63 – $179.11 | 11 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $322.30 | $586.00 | $35.41 – $179.11 | 11 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $503.95 – $503.95 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $432.75 – $432.75 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $750.20 | $1,364.00 | $99.63 – $361.01 | 11 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $387.20 | $704.00 | $90.04 – $215.17 | 10 |
| X-ray exam entire spi 6/> vw CPT 72084 | $387.20 | $704.00 | $100.55 – $215.17 | 10 |
| X-ray exam of arm infant CPT 73092 | $177.65 | $323.00 | $34.46 – $215.17 | 11 |
| X-ray exam of eye sockets CPT 70200 | $466.95 | $849.00 | $49.80 – $215.17 | 11 |
| X-ray exam of femur 1 CPT 73551 | $473.55 | $861.00 | $30.63 – $179.11 | 10 |
| X-ray exam of jaw joint CPT 70328 | $111.10 | $202.00 | $37.33 – $179.11 | 11 |
| X-ray exam of jaw joint CPT 70332 | $484.00 | $880.00 | $82.39 – $491.09 | 11 |
| X-ray exam of mastoids CPT 70120 | $271.70 | $494.00 | $42.61 – $215.17 | 11 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $64.65 – $1,124.62 | 11 |
| X-ray exam of penis CPT 74445 | not published | not published | $56.78 – $222.00 | 11 |
| X-ray exam of perineum CPT 74775 | not published | not published | $73.95 – $491.09 | 11 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $42.61 – $179.11 | 11 |
| X-ray exam of sinuses CPT 70210 | $249.70 | $454.00 | $34.46 – $179.11 | 11 |
| X-ray exam of tear duct CPT 70170 | $377.30 | $686.00 | $50.11 – $491.09 | 11 |
| X-ray exam of teeth CPT 70300 | not published | not published | $11.46 – $179.11 | 11 |
| X-ray exam of teeth CPT 70310 | not published | not published | $46.93 – $491.09 | 11 |
| X-ray exam si joints CPT 72200 | $348.15 | $633.00 | $36.38 – $215.17 | 11 |
| X-ray exam thorac spine4/>vw CPT 72074 | $452.10 | $822.00 | $47.40 – $215.17 | 11 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $262.90 | $478.00 | $34.94 – $179.11 | 11 |
| X-ray facial bones complete > 3 views CPT 70150 | $524.70 | $954.00 | $50.28 – $215.17 | 11 |
| X-ray fallopian tube CPT 74742 | not published | not published | $76.34 – $266.00 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | $473.55 | $861.00 | $38.78 – $179.11 | 10 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $282.70 | $514.00 | $45.48 – $179.11 | 11 |
| X-ray foot 2 views (both sides) CPT 73620 | $319.00 | $580.00 | $30.63 – $179.11 | 11 |
| X-ray forearm 2 views (both sides) CPT 73090 | $319.00 | $580.00 | $31.11 – $179.11 | 11 |
| X-ray hand 2 views (both sides) CPT 73120 | $339.90 | $618.00 | $33.98 – $215.17 | 11 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $11.94 – $179.11 | 11 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $371.80 | $676.00 | $30.14 – $179.11 | 11 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $618.75 | $1,125.00 | $67.52 – $215.17 | 10 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $539.55 | $981.00 | $44.05 – $215.17 | 10 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $539.55 | $981.00 | $57.45 – $215.17 | 10 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $593.45 | $1,079.00 | $67.52 – $215.17 | 10 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $385.00 | $700.00 | $34.46 – $179.11 | 10 |
| X-ray humerus >= 2 views left CPT 73060 | $333.85 | $607.00 | $34.94 – $179.11 | 11 |
| X-ray joint survey 1 view CPT 77077 | $131.45 | $239.00 | $44.05 – $215.17 | 10 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $385.00 | $700.00 | $37.81 – $179.11 | 11 |
| X-ray knee 3 views (both sides) CPT 73562 | $440.00 | $800.00 | $45.96 – $179.11 | 11 |
| X-ray knee ap standing bilateral CPT 73565 | $220.55 | $401.00 | $45.96 – $179.11 | 11 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $198.55 | $361.00 | $34.46 – $179.11 | 11 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $378.95 | $689.00 | $43.08 – $215.17 | 11 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $575.85 | $1,047.00 | $56.98 – $215.17 | 11 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $770.55 | $1,401.00 | $67.52 – $215.17 | 11 |
| X-ray male genital tract CPT 74440 | not published | not published | $114.96 – $491.09 | 11 |
| X-ray mandible complete > 4 views CPT 70110 | $470.25 | $855.00 | $45.96 – $215.17 | 11 |
| X-ray mandible ltd <4 views CPT 70100 | $275.00 | $500.00 | $43.56 – $179.11 | 11 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $60.00 – $60.00 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $391.05 | $711.00 | $42.61 – $179.11 | 11 |
| X-ray neck soft tissue CPT 70360 | $205.15 | $373.00 | $32.54 – $179.11 | 11 |
| X-ray nose to rectum for foreign body child CPT 76010 | $350.35 | $637.00 | $30.14 – $179.11 | 11 |
| X-ray of mammary ducts CPT 77054 | $473.55 | $861.00 | $69.44 – $491.09 | 10 |
| X-ray optic foramina CPT 70190 | not published | not published | $38.78 – $179.11 | 11 |
| X-ray pelvis 1-2 views CPT 72170 | $330.55 | $601.00 | $28.23 – $215.17 | 11 |
| X-ray pelvis complete > 3 views CPT 72190 | $427.90 | $778.00 | $43.56 – $215.17 | 11 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $251.96 – $251.96 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $284.35 – $284.35 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,034.55 | $1,881.00 | $77.59 – $718.05 | 11 |
| X-ray ribs 2 views left CPT 71100 | $386.65 | $703.00 | $37.81 – $179.11 | 11 |
| X-ray ribs 3 views bilateral CPT 71110 | $539.55 | $981.00 | $43.56 – $215.17 | 11 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $443.85 | $807.00 | $42.61 – $215.17 | 11 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $716.65 | $1,303.00 | $53.63 – $215.17 | 11 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $506.55 | $921.00 | $41.18 – $215.17 | 11 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $373.45 | $679.00 | $34.94 – $179.11 | 11 |
| X-ray scapula complete (both sides) CPT 73010 | $371.80 | $676.00 | $21.99 – $215.17 | 11 |
| X-ray sella turcica CPT 70240 | $219.45 | $399.00 | $34.46 – $179.11 | 11 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $253.55 | $461.00 | $20.56 – $179.11 | 11 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $593.45 | $1,079.00 | $39.26 – $179.11 | 11 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $685.85 | $1,247.00 | $50.75 – $1,124.62 | 11 |
| X-ray skull < 4 views CPT 70250 | $510.40 | $928.00 | $39.73 – $215.17 | 11 |
| X-ray skull > 4 views complete CPT 70260 | $561.00 | $1,020.00 | $45.00 – $215.17 | 11 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $89.09 – $215.17 | 11 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,149.50 | $2,090.00 | $120.72 – $361.01 | 11 |
| X-ray small intestine follow-through study CPT 74248 | $398.75 | $725.00 | $71.37 – $71.37 | 1 |
| X-ray spine single view CPT 72020 | $224.95 | $409.00 | $23.91 – $179.11 | 11 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $215.05 | $391.00 | $44.53 – $179.11 | 11 |
| X-ray sternum > 2 views CPT 71120 | $310.75 | $565.00 | $34.94 – $179.11 | 11 |
| X-ray surgical specimen CPT 76098 | $312.95 | $569.00 | $39.73 – $1,124.62 | 11 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $715.00 | $1,300.00 | $123.00 – $361.01 | 11 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $222.20 | $404.00 | $59.85 – $179.11 | 11 |
| X-ray thoracic spine 2 views CPT 72070 | $265.65 | $483.00 | $33.51 – $215.17 | 11 |
| X-ray thoracic spine 3 views CPT 72072 | $435.05 | $791.00 | $41.65 – $215.17 | 11 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $424.60 | $772.00 | $35.41 – $179.11 | 11 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $247.50 | $450.00 | $43.56 – $179.11 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $309.65 | $563.00 | $79.51 – $215.17 | 10 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $322.30 | $586.00 | $34.46 – $179.11 | 11 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $322.30 | $586.00 | $33.03 – $179.11 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $824.45 | $1,499.00 | $123.00 – $361.01 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $799.15 | $1,453.00 | $122.15 – $361.01 | 11 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $123.00 – $123.00 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $190.00 – $190.00 | 1 |
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.