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 wrist 2 views (both sides) CPT 73100 | $290.95 | $529.00 | $37.33 – $179.11 | 11 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $96.76 – $361.01 | 11 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $374.15 – $418.55 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $105.66 – $111.01 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $119.69 – $4,393.53 | 10 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $8.00 – $27.63 | 11 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.37 – $2.67 | 11 |
| Yersinia antibody CPT 86793 | not published | not published | $9.00 – $28.23 | 11 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $121,604.53 | 10 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $107.25 – $773.21 | 10 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.79 – $21.05 | 11 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.95 | 11 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.59 – $2.48 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $109.80 | 9 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $36.06 | 9 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $2.63 – $2.81 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $5.91 – $16.03 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.67 – $16.91 | 11 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $10.85 – $15.24 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $359.79 – $359.79 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $173.93 – $413.56 | 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.