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 |
|---|---|---|---|---|
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $16.24 – $35.13 | 11 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $18.47 – $31.65 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $428.45 | $779.00 | $237.24 – $591.81 | 10 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,038.40 | $1,888.00 | $604.50 – $3,309.55 | 12 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,111.00 – $3,309.55 | 9 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $237.24 – $632.69 | 10 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $9,953.90 | $18,098.00 | $660.68 – $3,309.55 | 12 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $649.55 | $1,181.00 | $237.24 – $1,579.00 | 11 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,038.40 | $1,888.00 | $604.50 – $3,309.55 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $358.60 | $652.00 | $170.62 – $507.69 | 10 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $977.22 – $6,535.00 | 12 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $255.89 – $2,100.00 | 12 |
| Closed tx orbit w/manipulj CPT 21401 | $2,825.35 | $5,137.00 | $498.88 – $3,193.45 | 12 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,261.50 | $5,930.00 | $891.43 – $3,309.55 | 12 |
| Closed tx septal&nose fx CPT 21337 | $4,074.40 | $7,408.00 | $455.68 – $6,823.84 | 12 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $157.43 – $507.69 | 10 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $535.70 | $974.00 | $237.24 – $507.69 | 10 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,184.70 – $6,734.39 | 12 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $469.70 | $854.00 | $219.19 – $487.48 | 10 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,008.05 – $3,193.45 | 12 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,022.97 – $14,934.65 | 9 |
| Close tear duct opening CPT 68760 | not published | not published | $218.30 – $653.28 | 10 |
| Close tear duct opening CPT 68761 | not published | not published | $175.17 – $653.28 | 10 |
| Close tear system fistula CPT 68770 | not published | not published | $937.70 – $4,893.31 | 12 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $14.00 – $34.24 | 11 |
| Clos txnose fx without stablz 21315 CPT 21315 | $4,536.40 | $8,248.00 | $90.73 – $3,193.45 | 12 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $776.60 | $1,412.00 | $302.81 – $1,579.00 | 12 |
| Closure of eyelid by suture CPT 67875 | $2,900.70 | $5,274.00 | $143.51 – $2,051.76 | 11 |
| Closure of salivary fistula CPT 42600 | not published | not published | $544.44 – $6,823.84 | 12 |
| Closure of windpipe lesion 31820 CPT 31820 | $4,745.95 | $8,629.00 | $506.25 – $6,823.84 | 12 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $603.32 – $1,291.11 | 10 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $40.51 | 11 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $43.70 | 11 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $40.51 | 11 |
| Clot factor xii hageman CPT 85280 | $260.15 | $473.00 | $14.00 – $41.41 | 11 |
| Clot factor xiii fibrin scrn CPT 85291 | $223.85 | $407.00 | $6.00 – $19.50 | 11 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $12.00 – $34.97 | 11 |
| Clotting assay whole blood CPT 85396 | not published | not published | $18.00 – $29.40 | 4 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.68 – $1.07 | 2 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $839.85 | $1,527.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $557.70 | $1,014.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $293.70 | $534.00 | $237.24 – $507.69 | 10 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $370.86 – $3,309.55 | 12 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $237.24 – $1,579.00 | 12 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $519.03 – $3,309.55 | 12 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $891.00 | $1,620.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $237.24 – $507.69 | 10 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $695.75 | $1,265.00 | $237.24 – $507.69 | 10 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $586.30 | $1,066.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $269.50 | $490.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $504.35 | $917.00 | $122.92 – $1,579.00 | 11 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $5,332.80 | $9,696.00 | $1,151.75 – $3,309.55 | 12 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $8,003.60 | $14,552.00 | $815.16 – $3,309.55 | 12 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $237.24 – $507.69 | 10 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $568.70 | $1,034.00 | $191.63 – $507.69 | 10 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $606.10 | $1,102.00 | $221.67 – $507.69 | 10 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $779.90 | $1,418.00 | $237.24 – $507.69 | 10 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,983.20 | $5,424.00 | $789.37 – $3,309.55 | 12 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $455.40 | $828.00 | $237.24 – $507.69 | 10 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,353.45 | $4,279.00 | $604.50 – $3,309.55 | 12 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $237.24 – $1,579.00 | 11 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $247.50 | $450.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $601.70 | $1,094.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $237.24 – $1,579.00 | 12 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,097.25 | $1,995.00 | $269.00 – $575.66 | 10 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,686.85 | $3,067.00 | $518.71 – $2,891.00 | 12 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $1,502.60 | $2,732.00 | $237.24 – $507.69 | 10 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $597.85 | $1,087.00 | $237.24 – $507.69 | 10 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $946.55 | $1,721.00 | $237.24 – $2,100.00 | 12 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $773.90 – $6,734.39 | 12 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $767.25 | $1,395.00 | $237.24 – $507.69 | 10 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $460.35 | $837.00 | $237.24 – $507.69 | 10 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $4,074.40 | $7,408.00 | $144.88 – $6,823.84 | 12 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $1,254.00 – $4,386.82 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,997.60 | $3,632.00 | $506.48 – $3,309.55 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $480.15 | $873.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $498.85 | $907.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $201.27 – $1,579.00 | 11 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $237.24 – $1,579.00 | 11 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,452.45 | $4,459.00 | $623.97 – $3,309.55 | 12 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $686.40 | $1,248.00 | $237.24 – $507.69 | 10 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $510.95 | $929.00 | $237.24 – $507.69 | 10 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,439.90 | $2,618.00 | $604.50 – $3,309.55 | 12 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $237.24 – $1,579.00 | 12 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $7,613.10 | $13,842.00 | $620.34 – $3,309.55 | 12 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,038.40 | $1,888.00 | $604.50 – $3,309.55 | 12 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $8,585.50 | $15,610.00 | $627.63 – $3,309.55 | 12 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $522.51 – $6,734.39 | 12 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $546.70 | $994.00 | $47.63 – $1,579.00 | 12 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $466.40 | $848.00 | $144.51 – $507.69 | 10 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $459.80 | $836.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,428.35 | $2,597.00 | $681.60 – $3,309.55 | 12 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $534.05 | $971.00 | $237.24 – $507.69 | 10 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $296.45 | $539.00 | $237.24 – $1,579.00 | 12 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $237.24 – $507.69 | 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.