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 |
|---|---|---|---|---|
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $39.36 – $1,658.24 | 9 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $163.86 – $350.65 | 9 |
| Cryopreservation sperm CPT 89259 | not published | not published | $39.36 – $350.65 | 9 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $68.57 – $1,579.00 | 11 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $39.36 – $107.25 | 8 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $318.10 – $8,058.70 | 11 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $168.95 – $412.94 | 10 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $56.74 – $121.42 | 9 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $10.00 – $30.84 | 11 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $9.00 – $25.64 | 11 |
| Crystal identification light microscopy CPT 89060 | $93.50 | $170.00 | $7.33 – $16.00 | 11 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,189.00 – $4,386.82 | 3 |
| Csf leakage imaging CPT 78650 | $818.40 | $1,488.00 | $286.00 – $2,664.63 | 11 |
| Csf shunt reprogram 62252 CPT 62252 | $561.00 | $1,020.00 | $58.42 – $1,579.00 | 11 |
| Csf ventriculography CPT 78635 | not published | not published | $286.00 – $1,117.53 | 11 |
| CT 3d report other modality w/workstation CPT 76377 | $684.20 | $1,244.00 | $58.37 – $126.59 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,808.20 | $6,924.00 | $168.70 – $361.01 | 10 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,737.35 | $4,977.00 | $168.70 – $446.40 | 10 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,737.35 | $4,977.00 | $168.70 – $361.01 | 10 |
| Cta neck without &/or w/contrast CPT 70498 | $2,268.20 | $4,124.00 | $168.70 – $361.01 | 10 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,313.00 | $9,660.00 | $335.54 – $718.05 | 10 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,674.55 | $6,681.00 | $168.70 – $361.01 | 10 |
| CT Angiogram of the Head CPT 70496 | $3,020.60 | $5,492.00 | $168.70 – $361.01 | 10 |
| CT angio hrt w/3d image CPT 75574 | $3,061.85 | $5,567.00 | $314.19 – $718.05 | 10 |
| CT angio pelvis CPT 72191 | $3,801.05 | $6,911.00 | $168.70 – $361.01 | 10 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,737.35 | $4,977.00 | $168.70 – $361.01 | 10 |
| CT bone density axial CPT 77078 | $662.20 | $1,204.00 | $83.70 – $179.11 | 10 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $168.70 – $361.01 | 8 |
| CT colonography dx CPT 74261 | not published | not published | $100.55 – $450.32 | 10 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $168.70 – $519.80 | 10 |
| CT colonography screening CPT 74263 | not published | not published | $229.48 – $814.99 | 10 |
| CT guidance for needle placement CPT 77012 | $2,302.85 | $4,187.00 | $101.56 – $202.16 | 2 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,314.95 | $4,209.00 | $81.90 – $176.99 | 2 |
| CT guid cryo ablat intramuscular CPT 20999 | $4,706.35 | $8,557.00 | $237.24 – $731.00 | 10 |
| CT guid parench tis ablat CPT 77013 | $2,635.05 | $4,791.00 | $455.63 – $530.07 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $48.40 | $88.00 | $83.70 – $179.11 | 9 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $277.29 – $718.05 | 10 |
| CT hrt w/3d image CPT 75572 | $1,895.85 | $3,447.00 | $218.86 – $718.05 | 10 |
| CT limited or localized follow-up study CPT 76380 | $1,661.55 | $3,021.00 | $83.70 – $179.11 | 10 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,686.20 | $4,884.00 | $167.63 – $361.01 | 10 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,669.70 | $4,854.00 | $100.55 – $215.17 | 10 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,891.90 | $5,258.00 | $168.70 – $361.01 | 10 |
| CT neck soft tissue w/contrast CPT 70491 | $2,300.10 | $4,182.00 | $168.70 – $361.01 | 10 |
| CT neck soft tissue without contrast CPT 70490 | $2,046.55 | $3,721.00 | $100.55 – $215.17 | 10 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,060.75 | $5,565.00 | $168.70 – $361.01 | 10 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,413.40 | $4,388.00 | $168.70 – $361.01 | 10 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,244.55 | $4,081.00 | $168.70 – $361.01 | 10 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,966.25 | $3,575.00 | $100.55 – $215.17 | 10 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $775.50 | $1,410.00 | $202.45 – $1,579.00 | 12 |
| CT scan for therapy guide CPT 77014 | not published | not published | $108.26 – $189.16 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,380.20 | $7,964.00 | $335.54 – $718.05 | 10 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,708.10 | $6,742.00 | $325.30 – $718.05 | 10 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,063.50 | $5,570.00 | $152.79 – $491.09 | 10 |
| CT thoracic spine w/contrast CPT 72129 | $2,474.45 | $4,499.00 | $168.11 – $361.01 | 10 |
| CT thoracic spine without contrast CPT 72128 | $2,443.10 | $4,442.00 | $100.55 – $215.17 | 10 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $710.60 | $1,292.00 | $100.55 – $215.17 | 10 |
| CT t-spine w /wo contrast CPT 72130 | $2,892.45 | $5,259.00 | $168.70 – $361.01 | 10 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,763.75 | $5,025.00 | $217.96 – $718.05 | 10 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,628.45 | $4,779.00 | $100.55 – $215.17 | 10 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,148.20 | $5,724.00 | $168.70 – $361.01 | 10 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $39.36 – $1,583.27 | 11 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $39.36 – $1,647.02 | 10 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,099.18 – $7,293.65 | 12 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $967.40 – $4,246.62 | 12 |
| Culture aerobic additional method definitive id each CPT 87077 | $232.55 | $422.82 | $6.00 – $17.29 | 11 |
| Culture afb any source CPT 87116 | $355.85 | $647.00 | $8.00 – $23.11 | 11 |
| Culture anaerobic additional method definitive id each CPT 87076 | $175.45 | $319.00 | $6.00 – $17.29 | 11 |
| Culture anaerobic except blood CPT 87075 | $462.00 | $840.00 | $7.00 – $20.27 | 11 |
| Culture bact stool aero addl path ea CPT 87046 | $95.70 | $174.00 | $7.00 – $20.20 | 11 |
| Culture body fluid CPT 87070 | $387.75 | $705.00 | $6.00 – $18.45 | 11 |
| Culture fungi definitive id mold CPT 87107 | $124.85 | $227.00 | $7.00 – $22.08 | 11 |
| Culture fungi definitive id yeast CPT 87106 | $139.70 | $254.00 | $7.00 – $22.08 | 11 |
| Culture fungi other (except blood) CPT 87102 | $277.20 | $504.00 | $6.00 – $18.00 | 11 |
| Culture fungi skin/hair/nail CPT 87101 | $277.20 | $504.00 | $5.00 – $16.50 | 11 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $113.85 | $207.00 | $8.00 – $31.27 | 11 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $11.00 – $32.93 | 11 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $21.16 | 11 |
| Culture screening strep group a CPT 87081 | $322.30 | $586.00 | $5.00 – $14.19 | 11 |
| Culture typing added method CPT 87158 | $277.20 | $504.00 | $4.00 – $16.56 | 11 |
| Culture typing immunologic CPT 87147 | $209.00 | $380.00 | $4.00 – $11.09 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $635.25 | $1,155.00 | $196.25 – $466.65 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $195.25 | $355.00 | $35.09 – $75.09 | 10 |
| Culture urine each isolate CPT 87088 | $168.85 | $307.00 | $6.00 – $17.31 | 11 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $41.86 | 11 |
| Curette/treat cornea CPT 65435 | not published | not published | $104.30 – $2,051.76 | 11 |
| Curette/treat cornea CPT 65436 | not published | not published | $553.79 – $4,893.31 | 10 |
| Cutter lead HCPCS C1773 | $1,341.83 | $2,439.69 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,829.85 | $3,327.00 | $90.80 – $3,239.91 | 11 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $21.37 – $23.04 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $32.31 – $34.06 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $104.50 | $190.00 | $10.00 – $30.64 | 11 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $0.76 – $2.37 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $175.45 | $319.00 | $12.95 – $27.71 | 10 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.58 – $1.23 | 10 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.02 – $1.82 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $64.24 – $114.24 | 4 |
| Cyclosporine 2 hour CPT 80158 | $547.80 | $996.00 | $13.00 – $38.63 | 11 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.84 – $1.38 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.30 – $3.71 | 4 |
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.