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 |
|---|---|---|---|---|
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $6,977.10 | $12,685.63 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $262.62 – $623.51 | 10 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $157.57 – $374.09 | 9 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $406.43 – $964.95 | 10 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $157.33 – $374.09 | 9 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $157.33 – $374.09 | 9 |
| Cystatin c CPT 82610 | $58.85 | $107.00 | $17.10 – $39.63 | 10 |
| Cystic fibrosis cftr CPT 81223 | $3,191.92 | $5,803.50 | $449.10 – $1,067.86 | 10 |
| Cystine urine quantitative CPT 82131 | $261.80 | $476.00 | $12.00 – $49.18 | 11 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $728.32 – $7,255.07 | 12 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $997.15 | $1,813.00 | $37.81 – $718.05 | 11 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $4,386.82 – $19,483.75 | 10 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $4,232.60 – $19,483.75 | 8 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $3,066.00 – $19,483.75 | 11 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $376.08 – $1,435.17 | 10 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,365.38 – $5,147.21 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,136.35 – $19,483.75 | 10 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $249.46 – $11,035.58 | 9 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $251.83 – $7,255.07 | 12 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $361.89 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $265.54 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $307.30 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $372.16 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $436.87 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $593.58 – $11,035.58 | 12 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $318.89 – $4,302.40 | 12 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $246.05 – $4,302.40 | 11 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $400.03 – $4,302.40 | 12 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $489.17 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $305.06 – $4,302.40 | 12 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $297.06 – $2,100.00 | 12 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $368.61 – $4,302.40 | 12 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $423.73 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $439.16 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $420.86 – $11,035.58 | 12 |
| Cystoscopy and treatment CPT 52310 | $1,213.85 | $2,207.00 | $229.69 – $4,302.40 | 12 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $415.47 – $4,302.40 | 12 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $372.57 – $7,255.07 | 12 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $398.78 – $7,255.07 | 12 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,668.15 | $3,033.00 | $122.22 – $1,579.00 | 12 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $256.16 – $5,316.00 | 11 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $250.48 – $2,100.00 | 12 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $510.39 – $7,255.07 | 12 |
| Cystoscopy inject material CPT 52327 | not published | not published | $392.92 – $11,035.58 | 12 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,066.00 – $11,035.58 | 11 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $434.97 – $7,255.07 | 12 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $274.87 – $4,302.40 | 12 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $375.92 – $4,302.40 | 12 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $484.36 – $11,035.58 | 12 |
| Cystoscopy & ureter catheter CPT 52005 | $5,113.90 | $9,298.00 | $201.96 – $4,302.40 | 12 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $5,362.50 | $9,750.00 | $445.71 – $4,302.40 | 12 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $719.68 – $7,255.07 | 12 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,189.97 – $7,255.07 | 10 |
| Cystouretero & or pyeloscope CPT 52351 | $2,083.95 | $3,789.00 | $458.65 – $7,255.07 | 12 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $559.53 – $7,255.07 | 12 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $631.25 – $11,035.58 | 12 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $707.49 – $11,035.58 | 12 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $629.32 – $11,035.58 | 11 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $593.11 – $11,035.58 | 12 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $675.53 – $11,035.58 | 12 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $535.93 – $7,255.07 | 12 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $597.20 – $7,255.07 | 12 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $402.46 – $7,255.07 | 12 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $5,484.60 | $9,972.00 | $230.33 – $4,302.40 | 12 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $214.63 – $4,302.40 | 12 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $76.82 – $4,386.82 | 4 |
| Cystourethro w/implant CPT 52441 | not published | not published | $317.58 – $4,386.82 | 4 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,189.00 – $7,185.00 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $520.51 – $7,255.07 | 12 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $468.31 – $7,255.07 | 12 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $430.17 – $7,255.07 | 12 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.92 – $1.59 | 4 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $42.38 – $90.69 | 10 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $30.00 – $87.10 | 10 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,044.00 – $2,482.40 | 10 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $810.00 – $1,926.00 | 10 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $77.55 | $141.00 | $14.39 – $30.79 | 11 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $88.55 | $161.00 | $16.85 – $36.06 | 11 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $28.72 | 11 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,858.82 – $3,624.70 | 11 |
| Cyto/molecular report CPT 88291 | not published | not published | $24.22 – $50.88 | 4 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $54.29 | 11 |
| Cytopath c/v index add-on CPT 88155 | $50.60 | $92.00 | $7.53 – $31.35 | 11 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $22.20 – $76.11 | 11 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $668.80 | $1,216.00 | $22.20 – $178.00 | 11 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $236.50 | $430.00 | $26.61 – $56.95 | 11 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $249.70 | $454.00 | $20.26 – $43.36 | 11 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $370.70 | $674.00 | $22.20 – $76.88 | 11 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $276.10 | $502.00 | $22.20 – $76.88 | 11 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $18.70 | $34.00 | $9.94 – $39.95 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $303.60 | $552.00 | $22.20 – $350.65 | 11 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $251.35 | $457.00 | $22.20 – $177.00 | 11 |
| Cytopath smear other source CPT 88160 | $238.15 | $433.00 | $10.60 – $78.99 | 11 |
| Cytopath smear other source CPT 88162 | not published | not published | $10.60 – $130.22 | 11 |
| Cytopath smear oth prep screen & interp CPT 88161 | $106.15 | $193.00 | $22.20 – $81.86 | 11 |
| Cytopath tbs c/v manual CPT 88164 | $154.00 | $280.00 | $13.28 – $39.68 | 11 |
| Cytotoxic antibody screening CPT 86807 | $941.05 | $1,711.00 | $45.00 – $168.31 | 11 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $63.52 | 11 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $50.78 – $535.67 | 10 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $5.13 – $7.20 | 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.