healthcosts.net

SSM Health St. Anthony Hospital - Oklahoma City

1000 North Lee Avenue, Oklahoma City, OK · SSM Health · · NPI 1366545311

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 10, 2026

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
Acoustic refl threshold tst CPT 92568 $105.60 $192.00 $22.75 – $76.88 10
Acromp/acromionectomy prtl CPT 23130 $5,997.20 $10,904.00 $944.09 – $6,734.39 12
Actigraphy testing CPT 95803 $231.55 $421.00 $56.74 – $135.57 10
Actinotherapy uv light CPT 96900 not published not published $35.91 – $76.88 10
Acup 1/> w/estim 1st 15 min CPT 97813 not published not published $27.82 – $59.53 9
Acup 1/> wo estim 1st 15 min CPT 97810 not published not published $27.82 – $59.53 9
Acute hepatitis panel CPT 80074 $820.60 $1,492.00 $38.00 – $101.93 11
Acute venous thrombus image CPT 78456 $1,651.10 $3,002.00 $199.00 – $2,664.63 11
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 not published not published $0.05 – $0.10 4
#acylcarnitineprfl CPT 82017 $125.40 $228.00 $12.00 – $36.10 11
Acylcarnitines qual CPT 82016 not published not published $16.00 – $35.29 11
Adapt behavior tx phys/qhp CPT 97155 not published not published $170.71 – $365.32 9
Adapter b 8 channel 10cm HCPCS C1883 $873.79 $1,588.71 not published 0
Adding walker to prev cast CPT 29440 not published not published $43.38 – $334.46 10
Adenosine 3 mg/250 ml bag for osm HCPCS J0153 not published not published $0.44 – $0.99 4
Adenovirus ag ia CPT 87301 not published not published $9.00 – $25.64 11
Adenovirus antibody,serum - quest CPT 86603 not published not published $9.00 – $27.54 11
Adenovirus assay w/optic CPT 87809 not published not published $15.08 – $46.57 10
Adhesiolysis tube ovary 58740 CPT 58740 not published not published $1,379.24 – $4,386.82 3
Adh-sendout CPT 84588 $286.55 $521.00 $24.00 – $72.63 11
Adj gastric band via subq port CPT 43999 not published not published $872.31 – $1,866.75 10
Adjmt/revj ext fixj sys anes CPT 20693 $5,964.20 $10,844.00 $682.00 – $14,934.65 12
Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 $7,856.75 $14,285.00 $1,152.36 – $4,246.62 12
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 not published not published $0.51 – $1.02 2
Administration chemotherapy IV infusion each additional hour CPT 96415 $374.55 $681.00 $40.80 – $148.19 10
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 $312.40 $568.00 $69.25 – $148.19 10
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 $559.90 $1,018.00 $187.28 – $679.83 10
Administration chemotherapy IV push single/initial substance/drug CPT 96409 $548.35 $997.00 $144.92 – $679.83 10
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 $119.90 $218.00 $51.82 – $148.19 10
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 $119.90 $218.00 $69.25 – $148.19 10
Administration immunization 1 vaccine CPT 90471 $138.60 $252.00 $30.67 – $148.19 10
Administration immunization each additional component CPT 90461 not published not published $12.25 – $13.47 2
Administration immunization each additional vaccine CPT 90472 $65.45 $119.00 $20.17 – $21.93 2
Administration immunization first component each vaccine CPT 90460 not published not published $31.64 – $34.39 2
Administration immunization intranasal/oral route 1 vaccine CPT 90473 not published not published $24.92 – $148.19 10
Administration immunization intranasal/oral route each additional vaccine CPT 90474 $17.82 $32.40 $16.60 – $18.08 2
Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 $17.60 $32.00 $31.68 – $33.95 2
Administration vaccine hepatitis b HCPCS G0010 $55.00 $100.00 $45.04 – $96.38 10
Administration vaccine influenza virus HCPCS G0008 $66.00 $120.00 $45.04 – $96.38 10
Administration vaccine pneumococcal HCPCS G0009 $66.00 $120.00 $45.04 – $96.38 10
Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 $9.90 $18.00 $26.95 – $29.22 2
Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 not published not published $43.63 – $85.07 11
Adrenal cortex & medulla img CPT 78075 $1,000.45 $1,819.00 $257.00 – $2,664.63 11
Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 not published not published $1,189.00 – $4,386.82 3
Advance care planning each additional 30 min 99498 CPT 99498 not published not published $99.96 – $108.90 2
Aep hearing status deter i&r CPT 92651 not published not published $124.50 – $544.95 10
Aep neurodiagnostic i&r CPT 92653 not published not published $125.22 – $544.95 10
Aep thrshld est mlt freq i&r CPT 92652 not published not published $169.47 – $544.95 10
Afamelanotide implant, 1 mg HCPCS J7352 not published not published $2,943.42 – $6,298.92 10
_afb id by dna probe rflx ast CPT 87149 not published not published $14.00 – $42.91 11
#afb mycobacteria suscep. #1 CPT 87190 not published not published $4.00 – $15.64 11
_afb org id by sequencing rflx ast-sendout CPT 87153 $381.15 $693.00 $115.36 – $246.87 10
Aflibercept injection HCPCS J0178 not published not published $743.60 – $1,450.03 11
Afo tib fx semi-rigid l2114 HCPCS L2114 not published not published $753.46 – $1,612.40 10
After cataract laser surgery CPT 66821 not published not published $464.17 – $2,100.00 12
Agalsidase beta 35 mg intravenous solution HCPCS J0180 not published not published $232.72 – $453.80 11
Air conduction bilat CPT 92552 $105.60 $192.00 $54.58 – $273.84 10
Air injection into abdomen 49400 CPT 49400 $456.50 $830.00 $136.66 – $991.00 3
Airway resistance by impulse oscillometry 94728 CPT 94728 $191.40 $348.00 $46.43 – $273.81 10
Albumin body fluid quantitative each specimen CPT 82042 $107.80 $196.00 $4.00 – $16.65 11
Albumin (human), 25%, 50ml HCPCS P9047 not published not published $53.32 – $103.98 11
Albumin, human 25 % intravenous solution HCPCS P9046 not published not published $21.33 – $41.59 11
Albumin (human), 5%, 250 ml HCPCS P9045 not published not published $53.08 – $103.50 11
Albumin, human 5 % intravenous solution HCPCS P9041 not published not published $10.62 – $20.70 11
Albumin ischemia modified CPT 82045 not published not published $33.94 – $72.63 10
Albumin (microalbumin) 24 hour urine quantitative CPT 82043 $110.00 $200.00 $4.00 – $12.37 11
Albumin serum plasma or whole blood CPT 82040 $52.25 $95.00 $4.00 – $10.59 11
Albuterol ipratrop non-comp HCPCS J7620 not published not published $0.22 – $0.31 4
Albuterol non-comp con HCPCS J7611 not published not published $0.21 – $0.28 4
Albuterol non-comp unit HCPCS J7613 not published not published $0.07 – $0.12 4
Alcohol (ethanol) any specimen except urine/breath CPT 82077 not published not published $15.54 – $36.96 10
Alcohol/sub misuse assess HCPCS G2011 not published not published $25.77 – $59.53 10
Alcohol/subs interv >30 min HCPCS G0397 not published not published $98.65 – $365.32 10
Aldesleukin injection HCPCS J9015 not published not published $3,338.87 – $9,118.29 10
Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 not published not published $2,544.94 – $4,962.63 11
Alkaline phosphatase CPT 84075 $60.50 $110.00 $4.00 – $11.09 11
Allergen alpha lactalbumin ige CPT 86008 $66.55 $121.00 $17.93 – $38.37 9
Allergen egg white ige CPT 86003 $80.85 $147.00 $5.22 – $15.00 11
Allergen specific ige qual multi scrn ea CPT 86005 $37.40 $68.00 $6.00 – $17.06 11
Allergy injections; 2 or more 95117 CPT 95117 $13.86 $25.20 $17.69 – $96.38 10
Allergy injection; single 95115 CPT 95115 not published not published $14.82 – $96.38 10
Allergy Skin Testing CPT 95004 not published not published $5.29 – $1,780.43 10
Allg patch or app # of tests 95044 CPT 95044 not published not published $7.14 – $1,780.43 10
Allgrft implnt knee w/scope CPT 29867 $10,769.00 $19,580.00 $1,942.58 – $26,424.41 10
Allograft 160mg placental salera mini membrane HCPCS Q4168 not published not published $19.31 – $28.35 2
Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 not published not published $94.35 – $233.39 11
Allograft amnioexcel plus 17mm disk HCPCS Q4137 not published not published $116.49 – $233.39 11
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 $1,835.25 $3,336.82 not published 0
Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 not published not published $119.69 – $256.13 9
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 not published not published $27.90 – $233.39 11
Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 not published not published $119.69 – $253.33 11
Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 not published not published $104.82 – $256.13 10
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 not published not published $119.69 – $380.65 11
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 not published not published $119.69 – $403.68 11
Alloskin HCPCS Q4115 not published not published $14.11 – $233.39 11
All tstg perq&iq drugs/biol CPT 95018 not published not published $10.84 – $76.88 10
All tstg perq&iq w/venoms CPT 95017 not published not published $5.63 – $59.53 10
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 not published not published $5.13 – $10.01 11
Alpha-fetoprotein afp-l3 frac & total CPT 82107 not published not published $64.41 – $137.84 10
Alpha-fetoprotein amniotic CPT 82106 $34.65 $63.00 $17.00 – $36.38 11

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.