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 |
|---|---|---|---|---|
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $279.83 – $6,662.61 | 11 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $138.61 – $1,579.00 | 11 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $128.54 – $416.11 | 10 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $173.48 – $1,579.00 | 11 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $166.02 – $1,579.00 | 11 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $699.84 – $6,662.61 | 12 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $308.40 – $6,662.61 | 12 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $173.25 | $315.00 | $9.00 – $350.65 | 11 |
| Compatibility test each unit electronic CPT 86923 | $299.20 | $544.00 | $19.78 – $350.65 | 10 |
| Compatibility test each unit immediate spin technique CPT 86920 | $173.25 | $315.00 | $16.00 – $350.65 | 11 |
| Compatibility test incubate CPT 86921 | not published | not published | $12.38 – $350.65 | 11 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $376.58 – $1,435.17 | 10 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $374.13 – $1,435.17 | 10 |
| Complement antigen each component c3 CPT 86160 | $197.45 | $359.00 | $9.00 – $25.68 | 11 |
| Complement fixation each CPT 86171 | not published | not published | $7.00 – $21.42 | 11 |
| Complete removal of vulva CPT 56625 | not published | not published | $1,020.81 – $6,662.61 | 12 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $240.30 – $1,579.00 | 12 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,118.15 | $2,033.00 | $348.39 – $2,100.00 | 12 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $2,131.80 | $3,876.00 | $371.45 – $2,891.00 | 12 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $8.59 – $560.52 | 10 |
| Compl oph exam general anes CPT 92018 | not published | not published | $211.19 – $4,893.31 | 10 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,098.35 | $1,997.00 | $419.95 – $2,891.00 | 12 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,391.50 | $2,530.00 | $506.78 – $2,891.00 | 12 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $933.35 | $1,697.00 | $206.48 – $1,459.00 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $948.75 | $1,725.00 | $365.44 – $2,100.00 | 12 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,414.60 | $2,572.00 | $390.97 – $2,891.00 | 12 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,024.65 | $1,863.00 | $189.89 – $991.00 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $2,637.80 | $4,796.00 | $124.93 – $991.00 | 3 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,767.70 | $3,214.00 | $302.55 – $2,100.00 | 12 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $2,335.30 | $4,246.00 | $108.50 – $991.00 | 3 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $817.68 – $1,749.84 | 10 |
| Composite graft/pri close/don area 15760 CPT 15760 | $5,189.80 | $9,436.00 | $1,056.93 – $4,246.62 | 12 |
| Comprehensive hearing test CPT 92557 | $273.90 | $498.00 | $48.47 – $273.81 | 10 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $115.02 – $274.02 | 10 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $128.05 – $274.02 | 10 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $335.54 – $718.05 | 8 |
| Concentration infection agents any type CPT 87015 | $164.45 | $299.00 | $5.00 – $14.30 | 11 |
| Conditioning play audiometry 92582 CPT 92582 | $283.80 | $516.00 | $123.75 – $273.81 | 10 |
| Condylomata destruction 56420 CPT 56420 | $722.15 | $1,313.00 | $167.96 – $1,579.00 | 11 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $5,432.35 | $9,877.00 | $389.86 – $6,662.61 | 12 |
| Conization of cervix CPT 57520 | $5,878.40 | $10,688.00 | $452.44 – $6,662.61 | 12 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $401.50 – $782.93 | 11 |
| Connect omega .5mm HCPCS L8613 | $5,062.05 | $9,203.72 | $579.47 – $579.47 | 1 |
| Connector tis 2x10mm HCPCS C9352 | $1,359.58 | $2,471.96 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $808.18 – $6,823.84 | 12 |
| Construction of vagina CPT 57291 | not published | not published | $841.88 – $10,295.98 | 12 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,254.00 – $6,734.39 | 12 |
| Construct vagina with graft CPT 57292 | not published | not published | $1,268.80 – $10,295.98 | 10 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $10.60 – $121.42 | 11 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $735.35 | $1,337.00 | $24.39 – $1,658.24 | 10 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $200.20 | $364.00 | $7.00 – $72.95 | 4 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $257.40 | $468.00 | $19.00 – $350.65 | 11 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $85.25 | $155.00 | $31.34 – $117.00 | 11 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $36.85 | $67.00 | $10.60 – $126.14 | 11 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $31.34 – $350.65 | 11 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $78.64 – $919.44 | 10 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $93.56 – $273.84 | 10 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $48.45 – $53.30 | 2 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $35.54 – $604.50 | 3 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $1,120.96 – $12,184.12 | 12 |
| Contour of face bone lesion CPT 21029 | $5,134.25 | $9,335.00 | $947.74 – $6,823.84 | 12 |
| Contrast baths charges CPT 97034 | not published | not published | $13.24 – $28.33 | 10 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,815.45 | $5,119.00 | $86.21 – $6,498.69 | 11 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $228.98 – $6,498.69 | 11 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,032.70 | $5,514.00 | $98.16 – $11,452.76 | 11 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $100.59 – $361.01 | 11 |
| Contrast x-ray of ankle CPT 73615 | $403.70 | $734.00 | $145.15 – $718.05 | 11 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $65.68 – $718.05 | 11 |
| Contrast x-ray of brain CPT 70015 | $894.85 | $1,627.00 | $158.57 – $1,613.46 | 11 |
| Contrast x-ray of elbow CPT 73085 | $458.15 | $833.00 | $107.30 – $718.05 | 11 |
| Contrast x-ray of hip CPT 73525 | $567.60 | $1,032.00 | $145.15 – $718.05 | 11 |
| Contrast x-ray of knee joint CPT 73580 | $495.00 | $900.00 | $115.45 – $718.05 | 11 |
| Contrast x-ray of wrist CPT 73115 | $453.20 | $824.00 | $155.69 – $718.05 | 11 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $17,987.99 – $38,494.30 | 10 |
| Controller infinity pt dbs HCPCS C1787 | $1,399.56 | $2,544.66 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $793.10 | $1,442.00 | $127.96 – $1,579.00 | 12 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $692.56 – $4,386.82 | 3 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $774.88 – $6,823.84 | 12 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $753.50 | $1,370.00 | $227.80 – $628.11 | 10 |
| Control of nosebleed ant comp 30903 CPT 30903 | $762.30 | $1,386.00 | $118.16 – $1,579.00 | 12 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $1,154.45 | $2,099.00 | $86.64 – $273.84 | 10 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $909.15 | $1,653.00 | $245.82 – $1,579.00 | 12 |
| Control throat bleeding CPT 42961 | not published | not published | $640.28 – $4,386.82 | 3 |
| Control throat bleeding CPT 42962 | $5,377.90 | $9,778.00 | $789.24 – $6,823.84 | 12 |
| Conversion ext bil drg cath CPT 47535 | $4,745.40 | $8,628.00 | $293.66 – $7,369.13 | 11 |
| Convert nephrostomy catheter CPT 50434 | $1,738.55 | $3,161.00 | $286.75 – $4,302.40 | 11 |
| Conv gtube to jtube CPT 44373 | not published | not published | $288.34 – $3,949.47 | 12 |
| Coombs direct CPT 86880 | $72.05 | $131.00 | $4.00 – $121.42 | 11 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $121.55 | $221.00 | $4.00 – $350.65 | 11 |
| Coombs indirect titer reference CPT 86886 | $111.65 | $203.00 | $4.00 – $350.65 | 11 |
| Copper cu 64 dotatate diag HCPCS A9592 | $1,477.11 | $2,685.65 | $594.28 – $1,802.23 | 10 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $1,195.95 – $1,734.07 | 2 |
| Cor artery disease mrna CPT 81493 | not published | not published | $938.12 – $2,247.00 | 10 |
| Core ndl bx lng/med perq CPT 32408 | $2,276.45 | $4,139.00 | $231.02 – $6,535.00 | 11 |
| Cor hlx vlgs double osteot CPT 28299 | $14,596.45 | $26,539.00 | $912.97 – $14,934.65 | 12 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $13,532.75 | $24,605.00 | $789.34 – $6,734.39 | 12 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $13,532.75 | $24,605.00 | $778.50 – $14,934.65 | 12 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $12,683.50 – $12,683.50 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $10.97 – $121.42 | 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.